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

JUANITA YVETTE MADISON

Active Sole Proprietor

JUANITA YVETTE MADISON is a Preferred Provider Organization healthcare provider located in DESOTO, Texas. NPI 1861828741 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · DESOTO, TX

Registration Details

NPI Number
1861828741
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2013 (12.91415256505 yrs)
Last Updated
Sep 23, 2013
Sole Proprietor
Yes

Practice Information

Address
500 CANARY LN
DESOTO, TX, 751157110
Browse TX providers · Browse ZIP 75115
Phone
2144574062
Fax
4692974222
Primary Specialty
Preferred Provider Organization
305R00000X
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.