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Individual

EMANUELLE RESTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
509 MEDICAL CENTER RD, BLDG 36065, FORT HOOD, TX 76544
(254) 553-2511
Mailing address
509 MEDICAL CENTER RD, BLDG 36065, FORT HOOD, TX 76544
(254) 553-2511

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
659707
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1762296-01
TX
01
8N8550
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
05/13/2026
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