Healthcare Provider Details

I. General information

NPI: 1891288965
Provider Name (Legal Business Name): DAVID R KNIGHT RN, MSN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 01/24/2020
Certification Date: 01/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3944 RR 620 S STE 102
BEE CAVE TX
78738-7178
US

IV. Provider business mailing address

13830 SAWYER RANCH RD STE 102
DRIPPING SPRINGS TX
78620-5514
US

V. Phone/Fax

Practice location:
  • Phone: 127-770-8845
  • Fax: 512-777-0933
Mailing address:
  • Phone: 512-301-6400
  • Fax: 512-301-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP137786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: