Healthcare Provider Details

I. General information

NPI: 1093912511
Provider Name (Legal Business Name): MICHELLE MARIE HEXT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE MARIE FISHER NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 S MAIN ST
LUMBERTON TX
77657-7378
US

IV. Provider business mailing address

601 B REV. RANSOM HOWARD DR.
PORT ARTHUR TX
77640
US

V. Phone/Fax

Practice location:
  • Phone: 409-449-1989
  • Fax: 409-217-3976
Mailing address:
  • Phone: 409-983-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number606287
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number606287
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP115837
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number606287
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: