Individual
COURTNEY LAUREN PANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
(830) 672-6430
Mailing address
PO BOX 1890, GONZALES, TX 78629-1390
(830) 672-6511
(830) 672-6430
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230340
TX
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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