Organization
LIFE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA DIXON NURSE PRACTITIONER (ADMINISTRATOR)
(347) 933-1741
Entity
Organization
Contact information
Practice address
310 N GRAY ST, KILLEEN, TX 76541-5245
(347) 933-1741
Mailing address
310 N GRAY ST, KILLEEN, TX 76541-5245
(347) 933-1741
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
02/15/2024
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