Individual
MARY GOTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W PARKER ST, ELKHART, TX 75839-7612
(903) 764-5686
Mailing address
PO BOX 4550, PALESTINE, TX 75802-4550
(903) 731-4555
(903) 731-4699
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
241946
TX
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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