Pack, Cory Blaine
Pack, Cory Blaine is an individual health care provider with primary practice located at 3410 Taft Blvd , Wichita Falls TX 76308-2036. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pack, Cory Blaine can be contacted via phone (940) 397-4824.Contact Information
Primary practice address
3410 Taft Blvd
Wichita Falls TX 76308-2036
Phone: (940) 397-4824
Fax: (940) 397-4901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT1804 | Texas |
Profile Details
| NPI number | 1376759050 |
|---|---|
| LBN Legal business name | Pack, Cory Blaine |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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