Individual
BAILEIGH WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 UNIVERSITY BLVD, TYLER, TX 75799-6600
(903) 565-5777
Mailing address
9191 SHADOW OAK DR, TYLER, TX 75707-3213
(432) 853-2135
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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