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Individual

MARY KATHERINE TULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1411 9TH ST, WICHITA FALLS, TX 76301-4302
(940) 386-9041
(940) 386-9079
Mailing address
2806 ECLETO BLVD, WICHITA FALLS, TX 76308-5132
(773) 793-4904

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
879041
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1170763
TX

Other

Enumeration date
04/15/2024
Last updated
08/07/2024
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