Old Corner Wellness INC
NPI #1003514597 in West, Texas
Provider Information
- NPI Number
- 1003514597
- Entity Type
- Organization
- Organization Name
- Old Corner Wellness INC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Feb 23, 2023
- Last Updated
- Jun 4, 2024
Practice Location
Authorized Official
- Name
- RANDY JAMES NIEMEYER
- Title
- OWNER
- Phone
- (254) 826-5122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Nurse Practitioner - Adult Health — Adult Health |
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