Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 444351 | TX |
NPI | 1134545627 |
---|---|
Provider Name | Barbara Mcfadden |
First Address | Missouri City, TX 77459-4420 |
Second Address | Houston, TX 77054-1906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2014 |
Last Update Date | 09/03/2014 |