Individual
KATHRYN BOBBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 MCDONALD RD, TYLER, TX 75701-5934
(903) 595-5514
Mailing address
2608 MCDONALD RD, TYLER, TX 75701-5934
(903) 595-5514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1150009
TX
Other
Enumeration date
01/17/2024
Last updated
05/03/2024
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