Provider Demographics
NPI:1740780774
Name:HUGHLING, CARMON KAY (LVN)
Entity Type:Individual
Prefix:
First Name:CARMON
Middle Name:KAY
Last Name:HUGHLING
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 1:3101 OAKVIEW DR APT 23
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-2602
Mailing Address - Country:US
Mailing Address - Phone:254-493-4898
Mailing Address - Fax:254-778-7205
Practice Address - Street 1:3101 OAKVIEW DR APT 23
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-2602
Practice Address - Country:US
Practice Address - Phone:254-493-4898
Practice Address - Fax:254-778-7205
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95891164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse