Individual
CORBIN CALSONCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 325-7891
Mailing address
100 COUNTY ROAD 307, BRECKENRIDGE, TX 76424-7782
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
976894
TX
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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