Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1020729 | TX |
NPI | 1013512482 |
---|---|
Provider Name | Francsico Adrian Rico |
First Address | Irving, TX 75039-2014 |
Second Address | Dallas, TX 75224-1814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2020 |
Last Update Date | 20/01/2021 |