Individual
DEANDRE YVETTE GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, LMT
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206845
TX
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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