Individual
MRS. SANDRA KAY TALLBEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 BELMONT DR, GEORGETOWN, TX 78626-6311
(512) 863-0707
Mailing address
705 BELMONT DR, GEORGETOWN, TX 78626-6311
(512) 863-0707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
592364
TX
367A00000X
Advanced Practice Midwife
407016 968
CA
367A00000X
Advanced Practice Midwife
Primary
592364
TX
Other
Enumeration date
10/24/2010
Last updated
11/11/2013
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