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NPI Code Detail

MEDICARE: PATRICIA ECKHARDT C-FNP

MEDICARE: PATRICIA ECKHARDT C-FNP
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 Practitioner649102TX
2363L00000XNurse Practitioner363151CA
3363L00000XNurse Practitioner649102TX
4363LF0000XFamily Nurse PractitionerAP108665TX

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 : 1770500217
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ECKHARDT C-FNP
Provider Business Mailing Address
First Line : 520 SOUTHPORT LN
Second Line :
City : KEMAH
State : TX
Zip : 77565-2920
Country : US
Telephone Number : 281-334-0539
Fax Number :
Provider Business Practice Location Address
First Line : 9522 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7724
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/10/2016

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