Individual
ANTHONY L FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038-2239
(469) 200-3272
Mailing address
411 KIRK LN, CEDAR HILL, TX 75104-2801
(469) 939-7812
(866) 871-3775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP135476
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135476
TX
363LG0600X
Gerontology Nurse Practitioner
AP135476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174155477
NPI
TX
Enumeration date
10/17/2017
Last updated
02/03/2026
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