Individual
MARY MCSPARREN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1631 LANCASTER DR STE 150, GRAPEVINE, TX 76051-3586
(817) 251-9080
(817) 251-9082
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0029767
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421851301
—
TX
Enumeration date
11/08/2006
Last updated
07/07/2021
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