| Mary Craddock, | |
|
9846 Hwy 31 E, Tyler, TX 75705-2329 | |
| (903) 525-3995 | |
| (903) 525-3858 |
| Full Name | Mary Craddock |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 9846 Hwy 31 E, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194436790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 165013 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Craddock, 9846 Hwy 31 E, Tyler, TX 75705-2329 Ph: (903) 525-3995 | Mary Craddock, 9846 Hwy 31 E, Tyler, TX 75705-2329 Ph: (903) 525-3995 |
Tiffany Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001 | |
Kimberly Mills, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001 | |
Vongretshun Smith-gross, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 | |
Vickie Denise Brown, LVN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684 | |
Pennye Sheridan, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684 | |
Mary Farrar, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684 |