Individual
CAITLYN MARTHA GRACE HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 GREGORY ST STE 3, TAFT, TX 78390-3045
(361) 528-3262
Mailing address
PO BOX 212, TAFT, TX 78390-0212
(361) 528-3262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39583
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/03/2023
Last updated
06/22/2023
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