Individual
URSULA EILEEN FERNANDEZ-PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 CR 4371, DECATUR, TX 76234
(832) 767-8621
Mailing address
PO BOX 926, BOYD, TX 76023-0926
(832) 767-8621
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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