Macy Debord
Individual provider Active NPI Licensed Vocational Nurse · Bowie, TX
NPI 1780225136 · NPPES record last updated Oct 7, 2019
Key facts
- NPI
- 1780225136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 311992 (TX)
- Practice address
- 704 E Nelson St
Bowie, TX 76230-3806 - Phone
- (940) 224-7650
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311992 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 311992 | TX | Yes |
Addresses
Primary practice location
704 E Nelson St
Bowie, TX 76230-3806
Mailing address
704 E Nelson St
Bowie, TX 76230-3806
Other providers in Bowie, TX
- Shandrea Clark
- Thomas C Conder
- Andrew Crawford
- CVS Pharmacy Inc
- Taylor Lacoste Davis
- Jennifer Endres
- Ess of Bowie LLC
- Gary T Evans
- Joshua Mark Evans
- Robert D. Evans
All providers in Bowie, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.