Individual
CONNIE B MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7901 SW 34TH AVE, AMARILLO, TX 79121-1057
(806) 350-7918
(806) 418-8982
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(806) 665-8503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390933502
—
TX
01
—
AP139633
TEXAS BOARD OF NURSING
TX
Enumeration date
11/05/2018
Last updated
04/13/2021
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