Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 764212 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP121883 | TX |
NPI | 1003179813 |
---|---|
Provider Name | Aurbrey Hanath Eikenhorst |
First Address | Dallas, TX 75284-4658 |
Second Address | Brenham, TX 77833-2610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 05/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
764212 | TEXAS NURSING (01) | TX |