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Mariann Craddock is one of 48 nurse practitioners practicing in Boerne, Texas .
Mariann Craddock practices with Physician Primecare, Inc.
Registry record (NPPES)
NPI
1295019503
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
12881 N IH 35 Live Oak, TX 78233-2966 (210) 742-6555
Enumerated
Oct 5, 2011
Record last updated
Sep 29, 2025
License states listed
TX
Medicare (CMS)
Enrollment
No current fee-for-service enrollment record
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
105 Falls Ct Suite 100
Boerne , TX 78006
(830) 249-3800
More nurse practitioners in Boerne
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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