ALEX A MCCULLOCH

FORT WORTH, TX
NPI1760477814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT1833)
Enumeration Date2005-09-14
Last Update Date2007-07-08
Business Address
Mr. ALEX A MCCULLOCH LAT, ATC
3857 WASHBURN AVE
FORT WORTH, TX 76107-3954
Phone number: 817-732-8050
Mailing Address
Mr. ALEX A MCCULLOCH LAT, ATC
PO BOX 470066
FORT WORTH, TX 76147-0066
Phone number: 817-896-2063
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