Individual
CAITLYN J VANMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1718 S HENDERSON BLVD, KILGORE, TX 75662-3544
(903) 983-2110
(903) 984-3783
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396179901
—
TX
01
—
778345
MEDICARE
TX
01
—
P02210719
MEDICARE RAIL ROAD
TX
Enumeration date
02/21/2019
Last updated
05/28/2019
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