EAGLE MOUNTAIN HEALTHCARE LLC

AZLE, TX
NPI1508563578
Entity TypeOrganization
Authorized ContactHEATHER GRAYSON
Nurse Practitioner/Owner
817-661-8197
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2023-02-10
Last Update Date2023-09-13
Business Address
EAGLE MOUNTAIN HEALTHCARE LLC
807 SOUTHEAST PKWY
AZLE, TX 76020-3658
Phone number: 817-661-8197
Mailing Address
EAGLE MOUNTAIN HEALTHCARE LLC
807 SOUTHEAST PKWY
AZLE, TX 76020-3658
Phone number: 817-661-8197