Provider Demographics
NPI:1245731942
Name:PRICE, GINGER
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:SAVOY
Mailing Address - State:TX
Mailing Address - Zip Code:75479-0097
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 W FOWLER ST
Practice Address - Street 2:
Practice Address - City:SAVOY
Practice Address - State:TX
Practice Address - Zip Code:75479-3028
Practice Address - Country:US
Practice Address - Phone:903-227-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119658164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse