Individual
DANIELLE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5260 S HULEN ST # 24, FORT WORTH, TX 76132-1912
(817) 517-8496
Mailing address
4209 GLEN ABBEY DR, CROWLEY, TX 76036-8530
(682) 564-3399
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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