Provider Demographics
NPI:1003391780
Name:MCGREGOR, VICKY DENISE (LVN)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:DENISE
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 22ND ST
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-5009
Mailing Address - Country:US
Mailing Address - Phone:281-744-2610
Mailing Address - Fax:
Practice Address - Street 1:1527 22ND ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5009
Practice Address - Country:US
Practice Address - Phone:281-744-2610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX307778164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse