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Organization
N MED
Active
Organization
N MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LOUISE HOLBERT-FERNANDEZ FNP-BC (BUSINESS OWNER)
(833) 560-6633
Entity
Organization
Contact information
Practice address
115 N UNIVERSITY DR STE C, NACOGDOCHES, TX 75961-5126
(833) 560-6633
(936) 560-3105
Mailing address
115 N UNIVERSITY DR STE C, NACOGDOCHES, TX 75961-5126
(833) 560-6633
(936) 560-3105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
581785
TX
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
581785
TX
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
363LF0000X
Family Nurse Practitioner
AP109196
TX
Other
Enumeration date
03/08/2018
Last updated
06/16/2018
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