Individual
MRS. MARTHA JEAN ALDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 190 JORDAN RD. 100 ACE ST., POINT BLANK, TX 77364
(936) 377-4575
Mailing address
P.O. BOX 161, POINT BLANK, TX 77364
(936) 377-4575
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
132612
TX
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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