Individual
CATHY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(800) 805-6989
Mailing address
15390 COUNTY ROAD 1151, TYLER, TX 75704-4625
(903) 941-0860
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201862
TX
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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