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Individual

ANA CHRISTINA HENRIQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P

Contact information

Practice address
3705 MEDICAL PKWY, SUITE 230, AUSTIN, TX 78705-1019
(512) 459-5204
(512) 459-5322
Mailing address
5836 BACK BAY LN, AUSTIN, TX 78739-1697
(512) 301-6582

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
660827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
660827
LICENSE NUMBER
TX
Enumeration date
11/21/2006
Last updated
07/08/2007
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