Mary Gotcher
Individual provider Active NPI General Practice Registered Nurse · Elkhart, TX
NPI 1497006282 · NPPES record last updated Sep 20, 2012
Key facts
- NPI
- 1497006282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 241946 (TX)
- Practice address
- 313 W Parker St
Elkhart, TX 75839-7612 - Phone
- (903) 764-5686
- NPI assigned
- Sep 20, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 241946 | TX | Yes |
Addresses
Primary practice location
313 W Parker St
Elkhart, TX 75839-7612
Mailing address
PO Box 4550
Palestine, TX 75802-4550
Phone (903) 731-4555
Other providers in Elkhart, TX
- Shandi Renee Cameron
- Charles H Stanton
- Kristina Rena Clark
- Educare Community Living Limited Partnership
- Amanda Elling
- Linda K Grant
- Regina Carol Hogan
- Hopkins County Hospital District
- Joel Wade Howell
- Kimberland Taylor Johnson
All providers in Elkhart, TX · General Practice Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.