Individual
MYNDA CARRASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 E BYRON NELSON BLVD, ROANOKE, TX 76262-6183
(972) 365-6541
Mailing address
509 E BYRON NELSON BLVD, ROANOKE, TX 76262-6183
(972) 365-6541
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
1768134
TX
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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