Individual
JOSE HUMBERTO ENRIQUEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
8500 DONIPHAN ROAD, ANTHONY, TX 79821
(915) 791-9758
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
(410) 910-1500
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
694694
TX
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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