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NPI Code Detail

MEDICARE: MARY APPL LVN

MEDICARE: MARY APPL LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency162670TX

General Provider Information

NPI Number : 1205115490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY APPL LVN
Provider Business Mailing Address
First Line : 8305 CROSS PARK DR
Second Line :
City : AUSTIN
State : TX
Zip : 78754-5154
Country : US
Telephone Number : 512-459-1000
Fax Number :
Provider Business Practice Location Address
First Line : 8305 CROSS PARK DR
Second Line :
City : AUSTIN
State : TX
Zip : 78754-5154
Country : US
Telephone Number : 512-459-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2011
Last Update Date : 08/05/2011

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Directions to “ MARY APPL LVN” Practice Location

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