Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | UO3514 | FL |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | S1710 | TX |
NPI | 1659777035 |
---|---|
Provider Name | Dr. Ashley Nicole Startzman |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-2510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2014 |
Last Update Date | 05/11/2020 |