Individual
FE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2525 N VETERANS BLVD, EAGLE PASS, TX 78852-3302
(830) 773-5358
(830) 773-0258
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
512795
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP119607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512795
TX BOARD OF NURSING
TX
01
—
AP119607
PEDIATRIC NURSE PRACTITIONER
TX
Enumeration date
12/10/2010
Last updated
11/16/2023
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