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Individual

MR. FREDERICK GERALD CASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
901 W WALL ST, STE 101, GRAPEVINE, TX 76051
(817) 481-4246
(817) 481-4254
Mailing address
901 W WALL ST, STE 101, GRAPEVINE, TX 76051
(817) 481-4246
(817) 481-4254

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8340
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8F5750
BCBS
TX
Enumeration date
09/20/2006
Last updated
04/27/2011
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