Individual
SLOVAKIA MCGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W DALLAS ST, MANSFIELD, TX 76063-1940
(214) 339-2221
Mailing address
101 W DALLAS ST, MANSFIELD, TX 76063-1940
(214) 339-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141913
TX
Other
Enumeration date
05/27/2019
Last updated
08/06/2019
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