Individual
ASHLEY STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19854 FM 102, EAGLE LAKE, TX 77434-7125
(832) 336-8299
Mailing address
19854 FM 102, EAGLE LAKE, TX 77434-7125
(832) 336-8299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CP-F17460-2025
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP-F17460-2025
TX
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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