NPI 1194436790

Mary Craddock

Practitioner Licensed Practical Nurse Tyler, TX

Practice location

Address: 9846 Hwy 31 E, Tyler, TX 75705-2329
Phone: (903) 525-3995
Fax: (903) 525-3858

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 165013 (TX)

Other Licensed Practical Nurse providers in Texas →

Registry record

NPI: 1194436790
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2022
Record last updated: 6 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.