Organization · Type 2 NPI
Texas Suburban Visiting Physician Services
Primary Care Nurse Practitioner · Pantego, TX
NPI number
1902405301
Active
Practice location
2200 Smith Barry Rd
Pantego, TX 76013-5800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1902405301
Texas Suburban Visiting Physician Services's National Provider Identifier is 1902405301, issued on Oct 19, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pantego, TX. The record was last updated on Oct 19, 2020.