Organization Name: | HILL COUNTRY GERIATRIC CARE |
NPI Number: | 1235311168 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA TAYLOR CARTER (GERIATRIC NURSE PRACTITIONER) |
Mailing Address: | 219 Chestnut Colt Liberty Hill |
State: | TX US |
Postal Code: | 786425528 |
Phone Number: | 5129927622 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 613819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |