Individual
MS. MARY ELIZABETH EILERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1100 LINDIG LN, JOHNSON CITY, TX 78636-4489
(830) 868-2997
Mailing address
1100 LINDIG LN, JOHNSON CITY, TX 78636-4489
(830) 868-2997
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2007004259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00462462
RAILROAD MEDICARE PART B
—
Enumeration date
07/24/2007
Last updated
05/19/2008
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