Individual
PAULA VASTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11797 SOUTH FWY STE 338, BURLESON, TX 76028-7035
(817) 568-5485
(817) 568-5434
Mailing address
11797 SOUTH FWY STE 338, BURLESON, TX 76028-7035
(817) 568-5485
(817) 568-5434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-23536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-23536
TEXAS STATE LICENSING BOARD
TX
Enumeration date
12/08/2011
Last updated
12/08/2011
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