| NPI | 1639334261 |
|---|---|
| Doing Business As | METHODIST PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2020-01-21 |