SearchTexas172V00000X

Mary Johnson, MANAGER

NPI 1255635470 · on the registry since 2011 · sole proprietor

Practice

Address
3735 Hwy 64w
Henderson, TX 75653
Phone
(903) 657-3548

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-03

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