Individual
MICHAEL T MCENRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 481-2231
(325) 481-2177
Mailing address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 481-2231
(325) 481-2177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F12190166
AANP
TX
Enumeration date
02/26/2020
Last updated
02/26/2020
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