Organization
MARY EBERHART, WHNP-BC, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY H. EBERHART WHNP-BC (OWNER/PROVIDER)
(940) 382-5800
Entity
Organization
Contact information
Practice address
2921 COUNTRY CLUB RD, STE 103, DENTON, TX 76210-8624
(940) 382-5800
(940) 382-3299
Mailing address
2921 COUNTRY CLUB RD, STE 103, DENTON, TX 76210-8624
(940) 382-5800
(940) 382-3299
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
518137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062RK
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/23/2008
Last updated
03/24/2009
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