Individual
JUDY ANN BRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Mailing address
15832 WILLIAMSON RD, SPLENDORA, TX 77372-4732
(832) 405-2174
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33166134
TEXAS DRIVERS LICENSE
TX
Enumeration date
08/08/2018
Last updated
08/08/2018
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