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NPI Code Detail

MEDICARE: DARREN E VASS ARNP

MEDICARE: DARREN E VASS ARNP
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
1363LF0000XFamily Nurse Practitioner1367-033WI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9401608FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP141532TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487692455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN E VASS ARNP
Provider Business Mailing Address
First Line : 12301 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77035-6207
Country : US
Telephone Number : 713-275-5400
Fax Number : 713-275-5120
Provider Business Practice Location Address
First Line : 12301 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77035-6207
Country : US
Telephone Number : 713-275-5400
Fax Number : 713-275-5120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 12/03/2021

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