Healthcare Provider Details

I. General information

NPI: 1194268508
Provider Name (Legal Business Name): KAMERON MARIE DOYLE RN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2016
Last Update Date: 12/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18607 KUYKENDAHL RD
SPRING TX
77379-3453
US

IV. Provider business mailing address

1904 CANVASBACK LN
FLOWER MOUND TX
75028-7127
US

V. Phone/Fax

Practice location:
  • Phone: 281-370-1122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP131951
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: