| Desire To Live Now, Llc | |
|
790 Generations Dr Ste 210 New Braunfels TX 78130-0087 | |
| (512) 643-3631 | |
| (512) 265-9692 |
| Full Name | Desire To Live Now, Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 790 Generations Dr Ste 210, New Braunfels, Texas |
| Authorized Official Name and Position | Tracey Susanne Mixon (OWNER) |
| Authorized Official Contact | 5126433631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desire To Live Now, Llc 790 Generations Dr Ste 210 New Braunfels TX 78130-0087 Ph: (512) 643-3631 | Desire To Live Now, Llc 790 Generations Dr Ste 210 New Braunfels TX 78130-0087 Ph: (512) 643-3631 |
| NPI Number | 1417570003 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417570003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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