Organization · Type 2 NPI
Medical Associates for LTC
Gerontology Nurse Practitioner · Hideaway, TX
NPI number
1841487212
Active
Practice location
437 Hideaway Ln E
Hideaway, TX 75771-5213
Fax (903) 882-8134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 244705 (TX) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1841487212
Medical Associates for LTC's National Provider Identifier is 1841487212, issued on Oct 1, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Hideaway, TX. The record was last updated on May 9, 2014.