Individual
MR. ERIK JAMES KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 201, WACO, TX 76712-8954
(254) 202-0550
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1035031
TX
363LF0000X
Family Nurse Practitioner
1035031
TX
Other
Enumeration date
04/26/2021
Last updated
07/12/2023
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