Individual
VIRGINIA MCWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 SACHSE RD, SACHSE, TX 75048-3829
(214) 415-5763
Mailing address
3517 SACHSE RD, SACHSE, TX 75048-3829
(214) 415-5763
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
170983
TX
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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