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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANDACE LEE CONGLETON

Active Sole Proprietor

CANDACE LEE CONGLETON is a Podiatric Surgery healthcare provider located in PECAN GAP, Texas. NPI 1124653522 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · PECAN GAP, TX

Registration Details

NPI Number
1124653522
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2020 (6.4677794161058 yrs)
Last Updated
Mar 5, 2020
Sole Proprietor
Yes

Practice Information

Address
204 W MAIN ST
PECAN GAP, TX, 754699604
Browse TX providers · Browse ZIP 75469
Phone
9033596401
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.