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Individual

MS. MARY CROMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3409 EXECUTIVE CENTER DR, SUITE 113, AUSTIN, TX 78731-1600
(512) 359-3703
(877) 482-2905
Mailing address
3409 EXECUTIVE CENTER DR, SUITE 113, AUSTIN, TX 78731-1600
(512) 359-3703
(877) 482-2905

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111751
TX

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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