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NPI 1306539309 · on the registry since 2023 · sole proprietor

Practice

Address
6802 Conestoga Dr
Rowlett, TX 75089
Phone
(972) 607-5494
Clinicians at this address
2

Registry record

Primary taxonomy
Driver
172A00000X
Also registered as
Driver
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-13

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