Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Craddock

Individual provider Licensed Practical Nurse · NPI 1194436790

Mary Craddock is a Licensed Practical Nurse in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

9846 Hwy 31 E
Tyler, TX 75705-2329
Phone: (903) 525-3995
Fax: (903) 525-3858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 165013 (TX)

Record details

NPI number1194436790
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address9846 Hwy 31 E, Tyler, TX 75705-2329

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