Provider Demographics
NPI:1659727667
Name:CURE-TEX CLINIC
Entity Type:Organization
Organization Name:CURE-TEX CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:WILHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN FNP-C
Authorized Official - Phone:719-645-9727
Mailing Address - Street 1:303 ROBB STREET
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:TX
Mailing Address - Zip Code:75862
Mailing Address - Country:US
Mailing Address - Phone:719-645-9727
Mailing Address - Fax:
Practice Address - Street 1:321 BAYSHORE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-4738
Practice Address - Country:US
Practice Address - Phone:719-645-9727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130133261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center