Individual
CASEY JOSEPH HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4412 KELL BLVD, WICHITA FALLS, TX 76309-4719
(940) 696-0011
(940) 696-2248
Mailing address
4412 KELL BLVD, WICHITA FALLS, TX 76309-4719
(940) 696-0011
(940) 696-2248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01152
TX
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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