Individual
VELLA MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2836 COUNTY ROAD 16060, DEPORT, TX 75435-4800
(903) 632-5828
(903) 632-5828
Mailing address
2836 COUNTY ROAD 16060, DEPORT, TX 75435-4800
(903) 632-5828
(903) 632-5828
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
640902
TX
372500000X
Chore Provider
640902
TX
372600000X
Adult Companion
640902
TX
374700000X
Technician
640902
TX
3747A0650X
Attendant Care Provider
640902
TX
3747P1801X
Personal Care Attendant
640902
TX
374U00000X
Home Health Aide
640902
TX
376J00000X
Homemaker
640902
TX
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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