Provider Demographics
NPI:1134360027
Name:MEDICAL CLINIC OF HARDIN COUNTY LLC
Entity type:Organization
Organization Name:MEDICAL CLINIC OF HARDIN COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:409-751-0471
Mailing Address - Street 1:PO BOX 534
Mailing Address - Street 2:
Mailing Address - City:KOUNTZE
Mailing Address - State:TX
Mailing Address - Zip Code:77625-0534
Mailing Address - Country:US
Mailing Address - Phone:409-751-0471
Mailing Address - Fax:409-751-0059
Practice Address - Street 1:805 HIGHWAY 69 S
Practice Address - Street 2:
Practice Address - City:KOUNTZE
Practice Address - State:TX
Practice Address - Zip Code:77625-6945
Practice Address - Country:US
Practice Address - Phone:409-751-0471
Practice Address - Fax:409-751-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty