Search › Texas › 225A00000X
Athena Mask, MT-BC
NPI 1952935454 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2455 N Eastman Rd
Longview, TX 75605 - Phone
- (903) 315-9338
Registry record
- Primary taxonomy
- 225A00000X
225A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-24
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