Doctor Name: | MRS. MARIA L WESCOAT |
NPI Number: | 1508142142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 18945 Fm 2252 Ste 115 Garden Ridge, TX - 782662797 |
Business Phone Number: | 8665956379 |
Business Fax Number: | |
Mailing Address: | 18945 Fm 2252 Ste 115, GARDEN RIDGE |
State: | TX |
Postal Code: | 782662797 |
Phone Number: | 8665956379 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2011 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |