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NPI Code Detail

MEDICARE: RICHARD PAUL MACIAS RN, FNP-C

MEDICARE: RICHARD PAUL MACIAS RN, 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
1363LF0000XFamily Nurse PractitionerAP134452TX

General Provider Information

NPI Number : 1528583739
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD PAUL MACIAS RN, FNP-C
Provider Business Mailing Address
First Line : 8061 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-4705
Country : US
Telephone Number : 915-859-7545
Fax Number :
Provider Business Practice Location Address
First Line : 8061 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-4705
Country : US
Telephone Number : 915-859-7545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2017
Last Update Date : 05/06/2026

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