Organization Name: | MARSHALL RURAL HEALTH CLINIC |
NPI Number: | 1083990808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CORTNEY YOUNG (NURSE PRACTITIONER) |
Mailing Address: | 805 Lindsey St Marshall |
State: | TX US |
Postal Code: | 756705249 |
Phone Number: | 9039276140 |
Fax Number: | 9039276117 |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 775544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |