Healthcare Provider Details

I. General information

NPI: 1134732787
Provider Name (Legal Business Name): REBECCA T BATTLESON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 1H635 STE 210
IRVING TX
75063
US

IV. Provider business mailing address

400 W 1H635 STE 210
IRVING TX
75063
US

V. Phone/Fax

Practice location:
  • Phone: 469-800-0440
  • Fax: 469-800-0450
Mailing address:
  • Phone: 469-800-0440
  • Fax: 469-800-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1010698
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: