Doctor Name: | MRS. REBECCA ANN KING |
NPI Number: | 1255648259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNS |
License Number: | 761821 |
Business Practice Address: | 1301 S Medina St Lockhart, TX - 786443856 |
Business Phone Number: | 5123983464 |
Business Fax Number: | |
Mailing Address: | 1301 S Medina St, LOCKHART |
State: | TX |
Postal Code: | 786443856 |
Phone Number: | 5123983464 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2010 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 761821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |