NPI Profile for IRIS WELL CHILD PHYSICALS in ELSA, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
364SP0200X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1881834539 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/20/2009 | |
| Last updated | 02/20/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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IRIS WELL CHILD PHYSICALS
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