A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
TX license #801287323taxonomy 261Q00000X
Nurse Practitioner
Definition to come...
taxonomy 363LA2200X
Identifiers
Type
Value
Notes
05 (TX)
363LP0808X
01 (FL)
APRN11015237
FLORIDA BOARD OF NURSING
05 (TX)
363LA2200X
01 (TX)
AP118542
TEXAS BOARD OF NURSING
01 (TX)
118542
TEXAS BOARD OF NURSING
01 (NM)
78132
NEW MEXICO BOARD OF NURSING
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Providence Medical & Mental Health Clinic
Type code 3recorded 2024-05-13
Providence Medical & Mental Health Clinic
Type code 3recorded 2024-05-12
Practice context
Multi-site organization.
1 additional practice location on file.
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