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NPI Code Detail

MEDICARE: ELEINA M FABER FNP

MEDICARE: ELEINA M FABER FNP
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 Nurse843937TX
2363L00000XNurse PractitionerAP142429TX

General Provider Information

NPI Number : 1245856376
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEINA M FABER FNP
Provider Business Mailing Address
First Line : 1715 STUART ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-3041
Country : US
Telephone Number : 281-773-4529
Fax Number :
Provider Business Practice Location Address
First Line : 6701 FANNIN ST STE 1250
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2612
Country : US
Telephone Number : 832-822-1750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2020
Last Update Date : 06/24/2020

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