Jlyle Medical Clinic PLLC
Nurse Practitioner, Psych/Mental Health in Caldwell, TX. Organization (NPI-2).
NPI number1669934774
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1669934774
- Entity type
- Organization (NPI-2)
- Legal business name
- Jlyle Medical Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2019
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
501 N Stone StCaldwell, TX 77836-1134
Phone 979-567-8500 · Fax 979-567-8500
Mailing address
501 N Stone StCaldwell, TX 77836-1134
Phone 979-567-8500 · Fax 979-567-8500
Authorized official
Shirley Levenson
Owner
5127740288
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