CARSON LANE POWELL

TYLER, TX
NPI1659890259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT6747)
Enumeration Date2017-09-14
Last Update Date2017-09-14
Business Address
CARSON LANE POWELL ATC, LAT
3001 UNIVERSITY BLVD
TYLER, TX 75701-7457
Phone number: 417-540-8634
Mailing Address
CARSON LANE POWELL ATC, LAT
3202 SHENANDOAH DR
TYLER, TX 75701-7449
Phone number: 417-540-8634