Individual
BRIAN RICHARD HONEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
3506 21ST ST STE 602, LUBBOCK, TX 79410-1234
(067) 254-4258
(806) 723-7347
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139029
TX
363LA2100X
Acute Care Nurse Practitioner
AP139029
TX
Other
Enumeration date
10/02/2018
Last updated
08/10/2023
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