Individual
CARL HEDGES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 1/2 N WARREN ST, OVERTON, TX 75684-1116
(903) 808-5568
Mailing address
412 1/2 N WARREN ST, OVERTON, TX 75684-1116
(903) 808-5568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT123783
MASSAGE THERAPY
TX
Enumeration date
05/19/2016
Last updated
05/19/2016
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