Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 687881 | TX |
NPI | 1003044330 |
---|---|
Provider Name | Ginger Gaile Carver |
First Address | Victoria, TX 77904-3861 |
Second Address | Victoria, TX 77904-2238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 05/12/2019 |