SearchTexas1835P0018X

Mary Bro

NPI 1245860014 · on the registry since 2020 · sole proprietor

Practice

Address
2109 Harwood Rd
Bedford, TX 76021
Phone
(817) 685-9628
Fax
(817) 685-9349
Organisation at this address
Kroger Texas L P
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
1835P0018X
Licence states on file
IA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas