Individual
LINDA JEANNE KANGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
12411 HYMEADOW DR STE 3F, AUSTIN, TX 78750-1829
(512) 250-1997
(512) 250-1529
Mailing address
12411 HYMEADOW DR STE 3F, AUSTIN, TX 78750-1829
(512) 250-1997
(512) 250-1529
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
459658
TX
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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