Marshall Family Practice Clinic, Pllc

NPI #1902073208 in Dayton, Texas

Provider Information

NPI Number
1902073208
Entity Type
Organization
Organization Name
Marshall Family Practice Clinic, Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 15, 2008
Last Updated
May 15, 2008

Practice Location

Address
601 S WINFREE ST
City
Dayton
State
Texas
ZIP Code
77535-2945
Phone
(936) 257-1102

Authorized Official

Name
MS. BETTY JO JORDAN, APN
Title
NURSE PRACTITIONER
Phone
(936) 257-1102

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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