Individual
COURTNEY DONIELLE UNKEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7000 JUSTIN RD, LANTANA, TX 76226-8412
(940) 584-0365
Mailing address
7000 JUSTIN RD, LANTANA, TX 76226-8412
(940) 584-0365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP137880
TX
363LF0000X
Family Nurse Practitioner
Primary
AP137880
TX
Other
Enumeration date
07/02/2018
Last updated
08/12/2020
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