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Britten Trace Eddleman I
Student in an Organized Health Care Education/Training Program in Lake Kiowa, Texas
NPI 1346705613

Britten Trace Eddleman I is a Student in an Organized Health Care Education/Training Program based in Lake Kiowa, TX. Britten Trace Eddleman I practices in Lake Kiowa, TX. The NPI Number for Britten Trace Eddleman I is 1346705613 and holds a License No. (Texas).

The current practice location address for Britten Trace Eddleman I is 103 Karok Cv, Lake Kiowa, TX and can be reached out via phone at 479-787-8657.

Location: 103 Karok Cv, Lake Kiowa, TX, 76240-9456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346705613
Provider Name
Britten Trace Eddleman I
Credential
Provider Entity Type
Individual
Gender
Male
Address
103 Karok Cv, Lake Kiowa, TX, 76240-9456
Phone Number
479-787-8657
Fax Number
Provider Enumeration Date
01/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Karok Cv
City
Lake Kiowa
State
Texas
Zip
76240-9456
Phone Number
479-787-8657
Fax Number
person
Provider Business Mailing Address Details
Address
103 Karok Cv
City
Lake Kiowa
State
Texas
Zip
76240-9456
Phone Number
479-787-8657
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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