Individual
CANDACE MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 HURST STREET, CENTER, TX 75935
(936) 657-1944
(936) 591-9155
Mailing address
630 HURST ST, CENTER, TX 75935-3414
(936) 657-1944
(936) 591-9155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132970
TX
Other
Enumeration date
01/17/2017
Last updated
08/12/2021
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