Healthcare Provider Details

I. General information

NPI: 1114550621
Provider Name (Legal Business Name): ALICIA INEZ FAULKNER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9645 BARKER CYPRESS RD STE 100
CYPRESS TX
77433-5292
US

IV. Provider business mailing address

5907 RANCH RIATA CT
KATY TX
77449-2047
US

V. Phone/Fax

Practice location:
  • Phone: 346-250-6010
  • Fax: 346-200-3572
Mailing address:
  • Phone: 512-508-2387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number811894
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number33490
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: