Individual
MENDY SLIGAR BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6770 OLD JACKSONVILLE HWY STE 103, TYLER, TX 75703-0576
(903) 944-7989
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
877818
TX
363L00000X
Nurse Practitioner
1100416
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
1100416
TX
Other
Enumeration date
02/26/2020
Last updated
11/20/2023
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