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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY CRADDOCK

Active

MARY CRADDOCK is a Licensed Practical Nurse healthcare provider located in TYLER, Texas. NPI 1194436790 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · TYLER, TX

Registration Details

NPI Number
1194436790
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2022 (3.6777767753513 yrs)
Last Updated
Dec 6, 2022
License
165013 (TX)

Practice Information

Address
9846 HWY 31 E
TYLER, TX, 757052329
Browse TX providers · Browse ZIP 75705
Phone
9035253995
Fax
9035253858
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in TYLER, TX

Name Credential NPI
PEGGY J DAVIDSON CRNP 1679583793
LACRESHA DANYELL YOUNGBLOOD 1437659125
TIFFANY WILLIAMS 1023504396
MRS. SUSAN EILEEN WEST LVN 1578046330
PIEDAD AZALIA PINEDA 1568930956
CARMEN JANAY SNIPES LVN 1912550617
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.