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Mary Lee Brown Moody

Community Health Worker in Bastrop, TX. Individual provider (NPI-1).

NPI number1013889179
StatusActive
Last updated in NPPESSep 19, 2025

Details

NPI
1013889179
Entity type
Individual (NPI-1)
Name
Mary Lee Brown Moody
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2025
Certification date
Sep 18, 2025
Last updated
Sep 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker13036TXYes

Practice location

806 Water St
Bastrop, TX 78602-3832

Phone 512-296-0859

Mailing address

806 Water St
Bastrop, TX 78602-3832

Phone 512-296-0859

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Other Community Health Worker providers in Bastrop, TX

All 11 Community Health Worker providers in Bastrop · All 552 providers in Bastrop

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