Organization
LOWT OF TEXOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE RENE NUNNELEY APRN (OWNER)
(940) 386-9334
Entity
Organization
Contact information
Practice address
4001 CEDAR ELM LN, SUITE B, WICHITA FALLS, TX 76308-3031
(940) 386-9334
(940) 386-9733
Mailing address
4001 CEDAR ELM LN, SUITE B, WICHITA FALLS, TX 76308-3031
(940) 386-9334
(940) 386-9733
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP110354
TX
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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