MEDICARE: DR. FABIOLA NORVELL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1067248	TX

General Provider Information

NPI Number	:	1053043000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FABIOLA NORVELL RN

Provider Business Mailing Address
First Line	:	5161 SAN FELIPE ST STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3640
Country	:	US
Telephone Number	:	818-813-4601
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 WELLS FARGO DR STE 274
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-4044
Country	:	US
Telephone Number	:	818-813-4601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	07/01/2026

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