Individual
MR. LANCE WAYNE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, OTC
Contact information
Practice address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Mailing address
7925 BELLA FLORA DR, FORT WORTH, TX 76126-6070
(817) 487-1466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
010402106
TX
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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