Individual
LESLIE FAYE MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1032 COUNTY ROAD 1653, CHICO, TX 76431-3611
(940) 210-1947
Mailing address
1032 COUNTY ROAD 1653, CHICO, TX 76431-3611
(940) 210-1947
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
148550
TX
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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