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Individual

MRS. STEPHANIE FOX CASTLESCHOULDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRANIAL PROTHESTICS

Contact information

Practice address
2912 W DAVIS ST, SUITE 130C, CONROE, TX 77304-2041
(936) 525-7615
Mailing address
2912 W DAVIS ST, SUITE 130C, CONROE, TX 77304-2041
(936) 525-7615

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1486938
TX

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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