Individual
JOSHUA LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(940) 627-5921
Mailing address
10012 BUTTE MEADOWS DR, FORT WORTH, TX 76177-7398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802953
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP136218
TX
Other
Enumeration date
01/11/2018
Last updated
05/14/2019
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