Individual
DEANNA MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4119 CLUBHOLLOW, KATY, TX 77450-8589
(832) 248-5392
Mailing address
4119 CLUBHOLLOW, KATY, TX 77450-8589
(832) 248-5392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
953499
TX
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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