Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 565703 | TX |
NPI | 1013163013 |
---|---|
Provider Name | Ms. Marla Kay English-Pickett |
First Address | Texarkana, TX 75503-9607 |
Second Address | Texarkana, TX 75503-9607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 11/08/2008 |