MEDICARE: JOSE LUIS TOIRAC FAEZ 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	363LF0000X	Family Nurse Practitioner	1023285	TX

General Provider Information

NPI Number	:	1821796939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE LUIS TOIRAC FAEZ FNP-C

Provider Business Mailing Address
First Line	:	300 NORTHPARK DR STE 100
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2695
Country	:	US
Telephone Number	:	281-310-8445
Fax Number	:	281-973-8025

Provider Business Practice Location Address
First Line	:	300 NORTHPARK DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1672
Country	:	US
Telephone Number	:	281-310-8445
Fax Number	:	281-312-4641

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

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	02/26/2026

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Directions to “ JOSE LUIS TOIRAC FAEZ FNP-C” Practice Location

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