Organization
BIOENVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY HAMMOND FNP (CO/OWNER)
(325) 690-0620
Entity
Organization
Contact information
Practice address
1030 ANDREWS HWY, SUITE 105A, MIDLAND, TX 79701-3872
(432) 704-5024
Mailing address
1030 ANDREWS HWY, SUITE 105A, MIDLAND, TX 79701-3872
(432) 704-5024
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
K0123
TX
208D00000X
General Practice Physician
Primary
K0123
TX
363LF0000X
Family Nurse Practitioner
594982
TX
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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