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Individual

MARY CAROLINE STANCUKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
215 OLD HIGHWAY 1187, BURLESON, TX 76028-0281
(817) 926-2663
(817) 293-8860
Mailing address
215 OLD HIGHWAY 1187, BURLESON, TX 76028-0281
(817) 926-2663
(817) 293-8860

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
135000840
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2287
TX

Other

Enumeration date
07/03/2014
Last updated
11/22/2023
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