Individual
JAVIER ENRIQUE ANTIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 595-6680
(903) 592-1934
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 595-6680
(903) 592-1934
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11044941
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
1230949
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
9373366
FL
Other
Enumeration date
01/08/2026
Last updated
06/29/2026
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