Individual
MRS. CARRIE ANN STOGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T.
Contact information
Practice address
600 W NORRIS ST, EL CAMPO, TX 77437-2430
(979) 578-1934
(979) 543-5565
Mailing address
703 FARLEY ST, EL CAMPO, TX 77437-3823
(979) 543-4057
(979) 543-5565
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT1221
TX
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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