ERIC DERK

DALLAS, TX
NPI1700615945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX  AT4730)
Enumeration Date2024-07-27
Last Update Date2024-07-27
Business Address
ERIC DERK
2826 ELSIE FAYE HEGGINS ST
DALLAS, TX 75215-4727
Phone number: 972-749-2668
Mailing Address
ERIC DERK
308 HILLTOP DR
KENNEDALE, TX 76060-2616
Phone number: 575-640-5820
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