Individual
DR. JUAN J CAPELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 CROSS LN, SOUTHLAKE, TX 76092-6367
(817) 251-6837
Mailing address
PO BOX 349, BEDFORD, TX 76095-0349
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
D4061
TX
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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