Individual
DEBRA LYNNE MCCULLOUGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ADVCD PRACTICE NURSE
Contact information
Practice address
208 NW 2ND ST, ANDREWS, TX 79714-6308
(432) 524-1434
(432) 524-1461
Mailing address
208 NW 2ND ST, ANDREWS, TX 79714-6308
(432) 524-1434
(432) 524-1461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
503337
TX
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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