Individual
KAY CHARMAIN WAUGH BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 W 6TH ST, WESLACO, TX 78596-5748
(956) 802-2443
(956) 968-5077
Mailing address
1203 W 6TH ST, WESLACO, TX 78596-5748
(956) 802-2443
(956) 968-5077
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021185011
OK
Other
Enumeration date
07/04/2022
Last updated
07/06/2022
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