Individual
JONI MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
Mailing address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1178257
TX
Other
Enumeration date
10/21/2024
Last updated
12/05/2024
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