SearchTexas163WL0100X

Carol Black

NPI 1992100366 · on the registry since 2014 · sole proprietor

Practice

Address
950 Thistle Meade Cir
Burleson, TX 76028
Phone
(817) 995-8625

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-28

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