NPI Code Detail JSON Logo

1063346682 NPI number — BORAVY TOUCH MALOY AGPCNP-BC, N.P.

NPI Number: 1063346682
Health Care Provider/Practitioner: BORAVY TOUCH MALOY AGPCNP-BC, N.P.

Information about “1063346682” NPI (BORAVY TOUCH MALOY AGPCNP-BC, N.P.) exists in 1063346682 in HTML format HTML  |  1063346682 in plain Text format TXT  |  1063346682 in PDF (Portable Document Format) PDF  |  1063346682 in an XML format XML  formats.

NPI Number : 1063346682 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063346682",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALOY",
    "FirstName": "BORAVY",
    "MiddleName": "TOUCH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGPCNP-BC, N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DIEP",
    "OtherFirstName": "BORAVY",
    "OtherMiddleName": "TOUCH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "R.N.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "15303 HUEBNER RD STE 6",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78248-0982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-530-1235",
    "MailingAddressFaxNumber": "877-898-3208",
    "FirstLinePracticeLocationAddress": "15303 HUEBNER RD STE 6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78248-0982",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-530-1235",
    "PracticeLocationAddressFaxNumber": "877-898-3208",
    "EnumerationDate": "06/09/2026",
    "LastUpdateDate": "06/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "1232704",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "1232704",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.