Individual
JAVIER FRAGOSO FLEITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8640 HUNTER MILLER WAY APT 1217, ODESSA, TX 79765-8761
(305) 339-1721
Mailing address
8640 HUNTER MILLER WAY APT 1217, ODESSA, TX 79765-8761
(305) 339-1721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1189974
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
1189974
TX
163WH0200X
Home Health Registered Nurse
1189974
TX
163WI0500X
Infusion Therapy Registered Nurse
1189974
TX
163WN1003X
Nutrition Support Registered Nurse
1189974
TX
163WP2201X
Ambulatory Care Registered Nurse
1189974
TX
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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