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Individual

MEGAN CASSELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2402 W WALL ST, MIDLAND, TX 79701-6316
(432) 688-7700
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6605

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143155
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
869041
TX MEDICARE
TX
Enumeration date
09/23/2019
Last updated
08/13/2020
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