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NPI Code Detail

MEDICARE: ALISON FORSAB FNP-C

MEDICARE: ALISON FORSAB 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
1363LP2300XPrimary Care Nurse PractitionerAP129857TX

General Provider Information

NPI Number : 1760839013
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON FORSAB FNP-C
Provider Business Mailing Address
First Line : 5019 CRYSTAL BLUFF CT
Second Line :
City : RICHMOND
State : TX
Zip : 77407-1428
Country : US
Telephone Number : 832-771-6804
Fax Number :
Provider Business Practice Location Address
First Line : 11226 S WILCREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-4313
Country : US
Telephone Number : 832-771-6804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2016
Last Update Date : 02/13/2023

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