Individual
CASEY LEE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
2505 TURTLE DOVE DR, TEMPLE, TX 76502-5976
(936) 366-4097
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
892616
TX
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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