Individual
JOEL MADRID BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1306 N PECOS ST, FORT STOCKTON, TX 79735-2640
(432) 290-6535
Mailing address
1306 N PECOS ST, FORT STOCKTON, TX 79735-2640
(432) 290-6535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
858744
TX
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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