Individual
LINDA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 LOUIS HENNA BLVD APT 1012, ROUND ROCK, TX 78664-5755
(817) 304-6599
Mailing address
2501 LOUIS HENNA BLVD APT 1012, ROUND ROCK, TX 78664-5755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
175886
TX
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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