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Courtney Marve Conston
Multi-Specialty Clinic/Center in Dallas, Texas
NPI 1750008710

Courtney Marve Conston is a Multi-Specialty Clinic/Center based in Dallas, TX and is specialized in Multi-Specialty. Courtney Marve Conston practices in Dallas, TX. The NPI Number for Courtney Marve Conston is 1750008710 and holds a License No. (Texas).

The current practice location address for Courtney Marve Conston is 5346 Cedar Waxwing Ln, Dallas, TX and can be reached out via phone at 510-277-2514.

Location: 5346 Cedar Waxwing Ln, Dallas, TX, 75236-2193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750008710
Provider Name
Courtney Marve Conston
Credential
Provider Entity Type
Individual
Gender
Female
Address
5346 Cedar Waxwing Ln, Dallas, TX, 75236-2193
Phone Number
510-277-2514
Fax Number
Provider Enumeration Date
10/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5346 Cedar Waxwing Ln
City
Dallas
State
Texas
Zip
75236-2193
Phone Number
510-277-2514
Fax Number
person
Provider Business Mailing Address Details
Address
5346 Cedar Waxwing Ln
City
Dallas
State
Texas
Zip
75236-2193
Phone Number
510-277-2514
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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