Individual
MRS. LOUISE M. CUPIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
1101 S MAIN ST, ROOM 1600, FORT WORTH, TX 76104-4802
(817) 321-4952
(817) 850-8511
Mailing address
1101 S. MAIN STREET, ROOM 1600, FORT WORTH, TX 76104
(817) 321-4952
(817) 850-8511
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
90072
TX
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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