MARY CRADDOCK

Licensed Practical Nurse

Active Individual
NPI: 1194436790

Practice Address

9846 HWY 31 E
Tyler, TX 75705

Phone: (903) 525-3995

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 165013 (TX)

Frequently Asked Questions

NPI 1194436790 is the National Provider Identifier for MARY CRADDOCK, a Licensed Practical Nurse provider located in Tyler, TX. This NPI was enumerated on December 6, 2022.
MARY CRADDOCK practices at 9846 HWY 31 E, Tyler, TX 75705.

Quick Facts

NPI
1194436790
Type
Individual
Enumerated
Dec 6, 2022
Last Updated
Dec 6, 2022

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