Healthcare Provider Details

I. General information

NPI: 1407138803
Provider Name (Legal Business Name): ROSEMARY CUEVAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 W DAVIS ST STE H
CONROE TX
77304-1841
US

IV. Provider business mailing address

3401 W DAVIS ST STE H
CONROE TX
77304-1841
US

V. Phone/Fax

Practice location:
  • Phone: 936-231-8610
  • Fax:
Mailing address:
  • Phone: 369-231-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1190422
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: