| NPI | 1578997482 |
|---|---|
| Doing Business As | METHODIST FAMILY MEDICINE OF HENDERSON NORTH ELM |
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2018-12-06 |