Knox Family Wellness Clinic, P.A.
Nurse Practitioner, Family in Knox City, TX. Organization (NPI-2).
NPI number1346282902
StatusActive
Last updated in NPPESJul 20, 2007
Details
- NPI
- 1346282902
- Entity type
- Organization (NPI-2)
- Legal business name
- Knox Family Wellness Clinic, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 11, 2006
- Last updated
- Jul 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F1105025 | TX | Yes |
Practice location
609 S Avenue FKnox City, TX 79529-2103
Phone 940-657-4457 · Fax 940-657-4456
Mailing address
609 S Avenue FKnox City, TX 79529-2103
Phone 940-657-4457 · Fax 940-657-4456
Authorized official
Karen Evon Stiewert
President
9406574457
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