Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 226835 | TX |
NPI | 1013001122 |
---|---|
Provider Name | Joyce Howard |
First Address | Victoria, TX 77901-6004 |
Second Address | Victoria, TX 77901-6004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 27/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154191402 | (05) | TX |
154191403 | (05) | TX |