Individual
CALVIN D MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
3718 BLUE LAKE DR, SPRING, TX 77388-5109
(830) 928-8626
Mailing address
3718 BLUE LAKE DR, SPRING, TX 77388-5109
(817) 528-8946
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
132756
TX
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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