Cameron Phan
Cameron Phan is an Athletic Trainer in Fort Worth, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2900 Stadium DrFort Worth, TX 76109-1380
Phone: (817) 257-3764
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1912648874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | 2635 Prospect Ridge Dr Apt 9214, Fort Worth, TX 76110-2574 |
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Dr. Katharine Poland, DAT, ATC, LAT
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Marlena Elizabeth Porter
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