NPI 1003641044

Charles Benson Sudell

Practitioner Contractor Crowley, TX

Practice location

Address: 836 Colony Dr, Crowley, TX 76036-2202
Phone: (817) 893-3369

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1003641044
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2024
Record last updated: 6 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.