Doctor Name: | MS. LINDA MARIE MCDERMOTT-GONZALEZ |
NPI Number: | 1043479181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 674253 |
Business Practice Address: | 2001 N Jefferson Ave Suite 300 Mount Pleasant, TX - 754552386 |
Business Phone Number: | 9035729823 |
Business Fax Number: | 9035724812 |
Mailing Address: | 2001 N Jefferson Ave, Suite 300 MOUNT PLEASANT |
State: | TX |
Postal Code: | 754552386 |
Phone Number: | 9035729823 |
Fax Number: | 9035724812 |
NPI Enumeration Date: | 06/04/2008 |
NPI Last Update Date: | 06/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 674253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |