Individual
COREY CHARLES VANPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 CRIMSON CT, ARLINGTON, TX 76018-1225
(470) 774-1992
Mailing address
1803 CRIMSON CT, ARLINGTON, TX 76018-1225
(470) 774-1992
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
12108968
TX
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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