Individual
LISA J MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 HOUSTON ST, LEVELLAND, TX 79336-4044
(806) 894-7872
(806) 894-1621
Mailing address
410 HOUSTON ST, LEVELLAND, TX 79336-4044
(806) 894-7872
(806) 894-1621
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
724139
TX
Other
Enumeration date
08/08/2018
Last updated
10/12/2023
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