SearchTexas171M00000X

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NPI 1407645492 · on the registry since 2025 · sole proprietor

Practice

Address
301 W Hawkins Pkwy Apt 1014
Longview, TX 75605
Phone
(469) 805-5434
Clinicians at this address
3

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2025-05-05

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