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Contact Information

TYLER GILMORE, MAT, LAT, ATC
3201 W LOOP 289
APT 127
LUBBOCK, TX79407
 Phone: 972-825-6255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TYLER GILMORE · (Male)

NPI Number 1235672791
Status Active
Credentials MAT, LAT, ATC
Entity Individual
Enumeration date 11/30/2016
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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