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NPI Code Detail

MEDICARE: CELINA D MCCOWN NP

MEDICARE: CELINA D MCCOWN NP
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
1363L00000XNurse Practitioner1059074TX
2363LF0000XFamily Nurse Practitioner1059074TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11059074OTHERTXAPRN-CNP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942967500
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINA D MCCOWN NP
Provider Business Mailing Address
First Line : PO BOX 587
Second Line :
City : GONZALES
State : TX
Zip : 78629-0587
Country : US
Telephone Number : 830-672-8502
Fax Number : 830-672-3035
Provider Business Practice Location Address
First Line : 1110 N SARAH DEWITT DR
Second Line :
City : GONZALES
State : TX
Zip : 78629-3311
Country : US
Telephone Number : 830-672-8502
Fax Number : 830-672-3035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2021
Last Update Date : 05/04/2026

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