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Organization

INNOVATIVE APN LLC

Active
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Organization

INNOVATIVE APN LLC

Active
Other names
Kenneth Tam
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH TAM NP-C (NURSE PRACTITIONER)
(512) 291-8076
Entity
Organization

Contact information

Practice address
9301 ELM GROVE CIR, AUSTIN, TX 78736-7716
(512) 291-8076
(512) 590-7104
Mailing address
9301 ELM GROVE CIR, AUSTIN, TX 78736-7716
(512) 291-8076
(512) 590-7104

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP118688
TX

Other

Enumeration date
07/27/2016
Last updated
07/28/2016
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