Organization
ADVANCE PRACTICE NURSE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK TIJERINA NP (OWNER)
(903) 539-2958
Entity
Organization
Contact information
Practice address
874 ED HALL DR STE 106, KAUFMAN, TX 75142-1800
(903) 539-2958
Mailing address
210 S CANTON ST, MABANK, TX 75147-2367
(903) 539-2958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
693274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
693274
TEXAS BOARD OF NURSING
TX
Enumeration date
07/24/2018
Last updated
07/24/2018
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