Individual
CARLEY RAE FUGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
151 COUNTY ROAD 230, CARTHAGE, TX 75633-6794
(903) 263-1754
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212547
TX
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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