Individual
ANNIE BISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1224 N HIGHWAY 377 STE 213, ROANOKE, TX 76262-9109
(682) 549-2022
(512) 782-9316
Mailing address
1224 N HIGHWAY 377 STE 213, ROANOKE, TX 76262-9109
(682) 549-2022
(512) 782-9316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1089419
TX
Other
Enumeration date
04/03/2025
Last updated
02/12/2026
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