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1386397487
LACY XENIA CASTLEBERRY
FORT WORTH, TX
NPI
1386397487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1058632)
Enumeration Date
2022-01-28
Last Update Date
2024-02-22
Business Address
Mrs. LACY XENIA CASTLEBERRY NP
6000 BRYANT IRVIN RD
FORT WORTH, TX 76132-4116
Phone number: 817-292-8000
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Mailing Address
Mrs. LACY XENIA CASTLEBERRY NP
6000 BRYANT IRVIN RD
FORT WORTH, TX 76132-4116
Phone number:
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