Organization · Type 2 NPI
Eagle Mountain Healthcare LLC
Primary Care Nurse Practitioner · Azle, TX
NPI number
1508563578
Active
Practice location
807 Southeast Pkwy
Azle, TX 76020-3658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1508563578
Eagle Mountain Healthcare LLC's National Provider Identifier is 1508563578, issued on Feb 10, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Azle, TX. The record was last updated on Mar 3, 2025.