Individual
EDWARD M MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 SWITCHGRASS LN, CROWLEY, TX 76036-4318
(940) 594-7761
Mailing address
1113 SWITCHGRASS LN, CROWLEY, TX 76036-4318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
873703
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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