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General NPI Number Information
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NPI Number | 1548710239
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Entity Type | Individual
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Provider Name | DEBRA ANNETTE KING FNP
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Gender | Female
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 5311 N LOOP 1604 W STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4392
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Country | US
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Telephone | 281-783-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 BRIARPARK DR STE 575
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City | HOUSTON
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State | TX
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Zip | 77042-3776
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Country | US
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Telephone | 832-626-2842
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Fax | 832-626-2842
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131846
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP131846
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License Number State | TX
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