Healthcare Provider Details
I. General information
NPI: 1043536527
Provider Name (Legal Business Name): LINDA LOU STEELE RNCWHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/09/2010
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 UHLAND RD STE 107
SAN MARCOS TX
78666-6681
US
IV. Provider business mailing address
604 S AVE. F
JOHNSON CITY TX
78636
US
V. Phone/Fax
- Phone: 512-392-1161
- Fax:
- Phone: 972-741-2663
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 416523 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: