MINI JOHN
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1902602998- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2405 HICKEY DR, GARLAND, TX, 750431757
- Phone
- (325) 271-1237
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: TX #963904
Registered Nurse, Medical-Surgical
License: TX #963904
Registered Nurse
Primary License: TX #963904