Individual
DONNA MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
577 HIGHWAY 95 S, ELGIN, TX 78621-5603
(512) 680-3811
Mailing address
577 HIGHWAY 95 S, ELGIN, TX 78621-5603
(512) 680-3811
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
782205
TX
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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