Individual
EDGAR EUGENE MCLEMORE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Mailing address
PO BOX 1133, PITTSBURG, TX 75686-3133
(903) 635-4412
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
241548
TX
Other
Enumeration date
02/16/2018
Last updated
06/16/2018
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