Search › Texas › 122300000X
Mavis Park, DDS
NPI 1902526262 · on the registry since 2022 · sole proprietor
Practice
- Address
- 36000 Darnall Loop
Fort Cavazos, TX 76544 - Phone
- (631) 742-9838
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-29
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