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Kerry Cagle

NPI 1558125567 · on the registry since 2024 · sole proprietor

Practice

Address
11700 Us Highway 380
Cross Roads, TX 76227
Phone
(940) 488-7013
Fax
(940) 365-9137
Organisation at this address
Wal-Mart Stores Texas, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-09

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