DENNIS AGRICOLA

BEAUMONT, TX
NPI1518367622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  249768)
Enumeration Date2014-08-26
Last Update Date2014-08-26
Business Address
-- DENNIS AGRICOLA NP
6200 KNAUTH ROAD
BEAUMONT, TX 77705
Phone number: 409-658-5395
Mailing Address
-- DENNIS AGRICOLA NP
PO BOX 1050
CHINA, TX 77613-1050
Phone number: 409-658-5395