Individual
CODY DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
425 MCCALEB RD APT 5205, MONTGOMERY, TX 77316-5224
(940) 550-2289
Mailing address
425 MCCALEB RD APT 5205, MONTGOMERY, TX 77316-5224
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341133
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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