Individual
VADA ANN CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2131 S MOBBERLY AVE, LONGVIEW, TX 75602-3563
(903) 315-5750
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-5750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04457
TX
Other
Enumeration date
10/25/2006
Last updated
07/26/2010
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