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Organization
EYE FOR BEAUTY MED SPA & GBC FAMILY MEDICINE, PLLC
Active
Organization
EYE FOR BEAUTY MED SPA & GBC FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE MOODY FNP (OWNER)
(903) 887-8884
Entity
Organization
Contact information
Practice address
227 S GUN BARREL LN, GUN BARREL CITY, TX 75156-3851
(903) 887-8884
(903) 887-7808
Mailing address
227 S GUN BARREL LN, GUN BARREL CITY, TX 75156-3851
(903) 887-8884
(903) 887-7808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126911
TX
363LP2300X
Primary Care Nurse Practitioner
AP126911
TX
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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