Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP135644 | TX |
NPI | 1003316258 |
---|---|
Provider Name | Debbie Lucrecia Pren |
First Address | Fresno, TX 77545-7002 |
Second Address | Houston, TX 77008-2433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2018 |
Last Update Date | 14/02/2018 |