NPI 1306114277 PECAN GROVE HEALTHCARE ENNIS TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Pecan Grove Healthcare - NPI: 1306114277

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: PECAN GROVE HEALTHCARE
NPI Number: 1306114277
Entity Type Code: Organizational (2)
Authorized Official Name: REBECCA L LUCAS
(OWNER)
Mailing Address: 805 W Lampasas St
Ennis
State: TX US
Postal Code: 751194535
Phone Number: 9728759494
Fax Number: 9728780689
NPI Enumeration Date: 12/07/2011
NPI Last Update Date: 12/07/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 517664
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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