Individual
TODD AUSTIN WANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
819374
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139757
TX
Other
Enumeration date
11/02/2018
Last updated
09/23/2024
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