Organization · Type 2 NPI
Pecan Grove Healthcare
Family Nurse Practitioner · Ennis, TX
NPI number
1306114277
Active
Practice location
805 W Lampasas St
Ennis, TX 75119-4535
Fax (972) 878-0689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 517664 (TX) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1306114277
Pecan Grove Healthcare's National Provider Identifier is 1306114277, issued on Dec 7, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ennis, TX. The record was last updated on Dec 7, 2011.