Organization Name: | TOTALLY ABOUT YOU |
NPI Number: | 1104282243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD COLE (OWNER/OFFICE MANAGER) |
Mailing Address: | 2330 Verna Lee Blvd Ste 109 Harker Heights |
State: | TX US |
Postal Code: | 765482838 |
Phone Number: | 2543930200 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP125932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |