Individual provider · Type 1 NPI
Javier Enrique Antique, APRN
Acute Care Nurse Practitioner · Tyler, TX
NPI number
1376400580
Active
Practice location
1000 S Beckham Ave
Tyler, TX 75701-1908
Fax (903) 592-1934
Other practice locations
- 1020 E Idel St, Tyler, TX 75701-2024 · (903) 535-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1230949 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1376400580
Javier Enrique Antique, APRN's National Provider Identifier is 1376400580, issued on Jan 8, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tyler, TX. The record was last updated on Jun 29, 2026.