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NPI Code Detail

MEDICARE: ML PALMER, PLLC; DBA: BOGATA HEALTH CLINIC

MEDICARE: ML PALMER, PLLC; DBA: BOGATA HEALTH CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner606498TX

General Provider Information

NPI Number : 1528407061
Entity Type Code : Organization
Provider Name (Legal Business Name) : ML PALMER, PLLC; DBA: BOGATA HEALTH CLINIC
Provider Business Mailing Address
First Line : PO BOX 367
Second Line :
City : BOGATA
State : TX
Zip : 75417-0367
Country : US
Telephone Number : 903-632-0078
Fax Number : 903-632-1825
Provider Business Practice Location Address
First Line : 106 2ND ST NW
Second Line :
City : BOGATA
State : TX
Zip : 75417-2451
Country : US
Telephone Number : 903-632-0078
Fax Number : 903-632-1825
Authorized Official
Title or Position : OWNER
Name : MARY L PALMER
Credential :
Telephone Number : 903-632-0078
Provider Enumeration Date : 06/18/2013
Last Update Date : 08/26/2024

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Directions to “ML PALMER, PLLC; DBA: BOGATA HEALTH CLINIC ” Practice Location

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