Mary Craddock, - Licensed Practical Nurse in Tyler, TX

Mary Craddock, is a Licensed Practical Nurse based in Tyler, Texas. Mary Craddock is licensed to practice in Texas (license number 165013) and her current practice location is 9846 Hwy 31 E, Tyler, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 525-3995.

NPI number for Mary Craddock is 1194436790 and her current mailing address is 9846 Hwy 31 E, Tyler, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194436790.

Contact Information

Mary Craddock,
9846 Hwy 31 E,
Tyler, TX 75705-2329
(903) 525-3995
(903) 525-3858



Provider's Profile

Full NameMary Craddock
GenderFemale
SpecialityLicensed Practical Nurse
Location9846 Hwy 31 E, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194436790
  • Provider Enumeration Date: 12/06/2022
  • Last Update Date: 12/06/2022

Medical Identifiers

Medical identifiers for Mary Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194436790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 165013 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Craddock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Craddock,
9846 Hwy 31 E,
Tyler, TX 75705-2329

Ph: (903) 525-3995
Mary Craddock,
9846 Hwy 31 E,
Tyler, TX 75705-2329

Ph: (903) 525-3995

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› Verified 4 days ago


Licensed Practical Nurse Nurses in Tyler, TX

Tiffany Williams,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-592-8001    
Kimberly Mills,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-592-8001    
Vongretshun Smith-gross,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-525-3801    Fax: 903-525-3858
Vickie Denise Brown, LVN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 755 S Beckham Ave, Tyler, TX 75701
Phone: 903-534-4684    
Pennye Sheridan,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 755 S Beckham Ave, Tyler, TX 75701
Phone: 903-534-4684    
Mary Farrar,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 755 S Beckham Ave, Tyler, TX 75701
Phone: 903-534-4684    

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