MEDICARE: JAVIER NEUMAN FNP-C

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	246ZC0007X	Surgical Assistant	16-311	TX
2	363LF0000X	Family Nurse Practitioner	1130787	TX

General Provider Information

NPI Number	:	1447606553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVIER NEUMAN FNP-C

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 N PEAK ST APT 7200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6704
Country	:	US
Telephone Number	:	972-325-4243
Fax Number	:

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

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	12/17/2025

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