Individual provider · Type 1 NPI

Ian Underwood

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1770115099 Active

Practice location

5204 Emmeryville Ln
Fort Worth, TX 76244-6200

Call (682) 351-4040 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1770115099

Ian Underwood's National Provider Identifier is 1770115099, issued on Feb 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 5, 2020.