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Lance Gholston
NPI 1851945513 · on the registry since 2019 · sole proprietor
Practice
- Address
- 301 W Warrior Trl
Grand Prairie, TX 75052 - Phone
- (972) 343-1676
- Fax
- (972) 343-1515
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas