Organization Name: | DWSP PLLC |
NPI Number: | 1013204015 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY T. POSTLE (DESIGNATED OFFICIAL) |
Mailing Address: | 617 N 3rd St Temple |
State: | TX US |
Postal Code: | 765013156 |
Phone Number: | 2549352655 |
Fax Number: | 2549352660 |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 11/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |