Individual
CHARLEY D MABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
907 E EUREKA, SUITE B, WEATHERFORD, TX 76086
(817) 598-9325
(817) 599-4902
Mailing address
PO BOX 163694, WEATHERFORD, TX 76161-3694
(888) 274-9585
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230407
TX
Other
Enumeration date
07/06/2006
Last updated
01/23/2008
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