Healthcare Provider Details

I. General information

NPI: 1104570365
Provider Name (Legal Business Name): ALLAN CAVE AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16655 SOUTHWEST FWY
SUGAR LAND TX
77479-2329
US

IV. Provider business mailing address

16655 SOUTHWEST FWY
SUGAR LAND TX
77479-2329
US

V. Phone/Fax

Practice location:
  • Phone: 281-271-7958
  • Fax: 281-274-8631
Mailing address:
  • Phone: 713-517-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number1059236
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1059236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: