Individual
MARK CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-2273
Mailing address
509 DAISY DR, GRANBURY, TX 76049-8234
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
193103
TX
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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