Healthcare Provider Details

I. General information

NPI: 1679639603
Provider Name (Legal Business Name): AUDREY BATZEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C THOMAS MOORE HEALTH CLINIC BLDG 2245 58TH STREET & 781ST TANK BATTALION AVE
FORT HOOK TX
76544-4752
US

IV. Provider business mailing address

CARL R DARNALL ARMY MEDICAL CENTER 36000 DARNALL LOOP
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-287-5939
  • Fax: 254-285-6193
Mailing address:
  • Phone: 254-287-3298
  • Fax: 254-285-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number668873
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: