Individual
PEGGY J HEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1737 10TH ST NE, PARIS, TX 75460-2785
(903) 785-0123
Mailing address
1737 10TH ST NE, PARIS, TX 75460-2785
(903) 785-0123
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
595063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06390044
DL
TX
Enumeration date
10/25/2018
Last updated
10/25/2018
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