Individual
KYLE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1397 COUGHRAN RD, PLEASANTON, TX 78064-4531
(210) 695-0568
Mailing address
1397 COUGHRAN RD, PLEASANTON, TX 78064-4531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
89623
TX
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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