Individual
CHARLES MICHAEL ATHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 LINDENWOOD LN N, HEWITT, TX 76643-3035
(254) 661-4107
Mailing address
117 LINDENWOOD LN N, HEWITT, TX 76643-3035
(254) 661-4107
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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