Individual
HEATHER RENE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4727 S FM 2869, HAWKINS, TX 75765-5582
(903) 920-5855
Mailing address
4727 S FM 2869, HAWKINS, TX 75765-5582
(903) 920-5855
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1010087
TX
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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