Provider Information for 1972126910
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DENISE BRIGGS MCCARSON
Sex: Female
NPI: 1972126910
Last Updated: 2020-05-26
Certification Date: 2020-05-26
Certification Date: 2020-05-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972126910 | ||||||||
| Enumeration Date | 2020-05-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 211 LA VERNIA, TX 78121-0211 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 410 ROSEWOOD DR LA VERNIA, TX 78121-4769 United States Phone: 281-639-9961 | Fax: | ||||||||
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