Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 674253 | TX |
NPI | 1043479181 |
---|---|
Provider Name | Ms. Linda Marie Mcdermott-Gonzalez |
First Address | Mount Pleasant, TX 75455-2386 |
Second Address | Mount Pleasant, TX 75455-2386 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 04/06/2008 |