JERRY DANIEL WHEAT

FORT WORTH, TX
NPI1629142823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  0329)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- JERRY DANIEL WHEAT ATC, LAT
3700 W BERRY LUPTON STADIUM
FORT WORTH, TX 76129-0001
Phone number: 817-257-5156
Mailing Address
-- JERRY DANIEL WHEAT ATC, LAT
2109 LINCOLN CT
FLOWER MOUND, TX 75028-8363
Phone number: 972-691-2625
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