Individual
JUSTIN DANIEL SUDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGACNP-BC
Contact information
Practice address
1866 KELLER PKWY STE B, KELLER, TX 76248-3763
(682) 337-3810
Mailing address
1220 N KNOWLES DR, SAGINAW, TX 76179-1024
(682) 208-0984
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1084140
TX
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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