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MR. IVAN SOREL USCANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
36048 58TH STREET, FORT CAVAZOS, TX 76544
(254) 287-1140
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 287-1140
(254) 285-5103

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
812670
TX

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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