Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANCE GHOLSTON
Active Sole ProprietorLANCE GHOLSTON is a Athletic Trainer healthcare provider located in GRAND PRAIRIE, Texas. NPI 1851945513 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1851945513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2019 (7.0122662528777 yrs)
- Last Updated
- Jul 30, 2019
- License
-
AT4061 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 W WARRIOR TRLGRAND PRAIRIE, TX, 750525718Browse TX providers · Browse ZIP 75052
- Phone
- 9723431676
- Fax
- 9723431515
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. STEVE JOSEPH GUADALUPE | A.T.C., L.A.T. | 1174759195 |
| MARSHALL ANDERSON | MS LAT ATC | 1477000883 |
| JUSTIN THOMAS NADEAU | ATC, LAT | 1669971370 |
| ANN MEINERS | — | 1629533419 |
| MR. RANDALL WAYNE TAYLOR II | — | 1639710130 |
| LIZBETH PAOLA ALVAREZ ROLDAN | — | 1316580780 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.