| NPI | 1467946384 |
|---|---|
| Former Legal Business Name | ADVANCED MEDICAL SKIN CARE,LLC |
| Doing Business As | MAJESTIC HEALTHCARE, PLLC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCCOY Owner 512-364-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP119783) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP119783) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-08-13 |