Provider Demographics
NPI:1659777035
Name:STARTZMAN, ASHLEY NICOLE (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICOLE
Last Name:STARTZMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:STARTZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-2111
Mailing Address - Fax:
Practice Address - Street 1:2401 S 31ST ST BLDG 35
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-2510
Practice Address - Country:US
Practice Address - Phone:254-724-2663
Practice Address - Fax:254-724-9318
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO3514207X00000X
TXS1710207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery