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NPI Code Detail

MEDICARE: MS. PATRICIA SQUIRES NURSE PRACTITIONER

MEDICARE:  MS. PATRICIA  SQUIRES  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse586491TX
2363LF0000XFamily Nurse PractitionerAP125727TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073932067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA SQUIRES NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 919 HIDDEN RDG
Second Line :
City : IRVING
State : TX
Zip : 75038-3813
Country : US
Telephone Number : 469-282-2711
Fax Number : 469-282-2609
Provider Business Practice Location Address
First Line : 4617 GREENWOOD DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78416-1742
Country : US
Telephone Number : 361-857-2872
Fax Number : 361-857-2946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2014
Last Update Date : 01/10/2017

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1023641818 — RAQUEL GARZA VELA FNP-C
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Directions to “ MS. PATRICIA SQUIRES NURSE PRACTITIONER” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.