Individual
BRENT JAMES GOTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 COUNTY ROAD 122 E, NACOGDOCHES, TX 75965-8802
(936) 371-2190
Mailing address
156 COUNTY ROAD 122 E, NACOGDOCHES, TX 75965-8802
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
197043
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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