| Doctor Name: | DEBRA SUE MAHONEY |
| NPI Number: | 1265619241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP109268 |
| Business Practice Address: | 710 Titus St Gilmer, TX - 756441739 |
| Business Phone Number: | 9038435676 |
| Business Fax Number: | 9038435204 |
| Mailing Address: | Po Box 4207, LONGVIEW |
| State: | TX |
| Postal Code: | 756064207 |
| Phone Number: | 9038435676 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2008 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP109268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |