Most Relevant Information
Provider Data
| NPI Number: | 1003385667 |
| Provider Name: | CINDY MARIE BOMGARDNER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 670587 |
Most Important Dates
| Enumeration Date: | 11/13/2018 |
| Last Updated: | 11/13/2018 |
Provider Practice Location
3501 HARE RD
GILMER
TX
756447562
Practice Location Phone/Fax
| Phone: | 9032848647 |
| Fax: |
Provider Mailing Location
3501 HARE RD
GILMER
TX
756447562
Provider Mailing Phone/Fax
| Phone: | 9032848647 |
| Fax: |