| Stace Mcewin Pllc | |
|
124 Bobwhite Ln Holly Lake Ranch TX 75765-7200 | |
| (806) 789-4101 | |
| Not Available |
| Full Name | Stace Mcewin Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 124 Bobwhite Ln, Holly Lake Ranch, Texas |
| Authorized Official Name and Position | Stace Mcewin (SOLE PROPRIETOR) |
| Authorized Official Contact | 8067894101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stace Mcewin Pllc 124 Bobwhite Ln Holly Lake Ranch TX 75765-7200 Ph: (806) 789-4101 | Stace Mcewin Pllc 124 Bobwhite Ln Holly Lake Ranch TX 75765-7200 Ph: (806) 789-4101 |
| NPI Number | 1376373035 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376373035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |