Individual
MR. ANDREW BLAKE THRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, APRN
Contact information
Practice address
1204 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 573-5688
Mailing address
1204 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 573-5688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1027098
TX
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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