Individual
DR. MISTY ALICE VANDEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1212 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 279-1776
(817) 573-2239
Mailing address
1212 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 279-1776
(817) 573-2239
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20215
MS
Other
Enumeration date
05/28/2008
Last updated
01/23/2012
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