Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP141817 | TX |
NPI | 1063064533 |
---|---|
Provider Name | Dona Mcgee |
First Address | Corpus Christi, TX 78414-4108 |
Second Address | Beeville, TX 78102-5324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2019 |
Last Update Date | 15/07/2019 |