| |
7097 N Expy 77, Ste 5, Olmito, TX 78575-9807 | |
(956) 518-7305 | |
(956) 518-7307 |
Full Name | |
---|---|
Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 7097 N Expy 77, Olmito, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982927265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6041 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 776890 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
7097 N Expy 77, Ste 5, Olmito, TX 78575-9807 Ph: (956) 518-7305 | 7097 N Expy 77, Ste 5, Olmito, TX 78575-9807 Ph: (956) 518-7305 |