Individual
COURTNEY BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10141 CREEK BEND DR, TYLER, TX 75707
(817) 663-5974
Mailing address
10141 CREEK BEND DR, TYLER, TX 75707
(817) 663-5974
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1050951
TX
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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