Provider Demographics
NPI:1306006119
Name:NURSES MEDICAL CARE CLINIC
Entity Type:Organization
Organization Name:NURSES MEDICAL CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN/PHD
Authorized Official - Phone:972-293-5301
Mailing Address - Street 1:2420 N INTERSTATE 35 E
Mailing Address - Street 2:103
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2110
Mailing Address - Country:US
Mailing Address - Phone:972-293-5301
Mailing Address - Fax:
Practice Address - Street 1:2420 N INTERSTATE 35 E
Practice Address - Street 2:103
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2110
Practice Address - Country:US
Practice Address - Phone:972-293-5301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112715251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care