Individual
MARY PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(432) 550-1721
Mailing address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(432) 550-1721
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
97271
TX
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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