Individual
MERRY FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
36065 SANTA FE AVE, CRDAMC, FORT CAVAZOS, TX 76544
(254) 553-0545
Mailing address
WOMEN'S HEALTH CENTER/CRDAMC, 36065 SANTA FE AVE, FORT CAVAZOS, TX 76544
(254) 553-0545
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
807400
TX
367A00000X
Advanced Practice Midwife
Primary
AP131763
TX
Other
Enumeration date
09/14/2016
Last updated
02/08/2024
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