Individual
NANETTE R PAREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 120, MIDLAND, TX 79701-5849
(432) 684-6962
(432) 684-6376
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6605
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
716134
TX MEDICARE
TX
01
—
PA04008
LICENSE
TX
Enumeration date
07/14/2006
Last updated
08/12/2020
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