Individual
CASEY WOLLENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 HARRY HINES BLVD, SUITE 200, C-WING, DALLAS, TX 75390-3552
(214) 590-8000
Mailing address
3235 HARRY HINES BLVD, SUITE 200, C-WING, DALLAS, TX 75390-3552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD470329
TX
Other
Enumeration date
05/12/2015
Last updated
03/16/2021
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