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NPI Code Detail

MEDICARE: MR. JUAN ROBERTO LLANES MSN, APRN FNP-BC

MEDICARE: MR. JUAN ROBERTO LLANES MSN, APRN FNP-BC
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
1363LF0000XFamily Nurse Practitioner533924TX
2363L00000XNurse PractitionerAP112583TX

General Provider Information

NPI Number : 1306843347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUAN ROBERTO LLANES MSN, APRN FNP-BC
Provider Business Mailing Address
First Line : 801 I J ST
Second Line :
City : MCALLEN
State : TX
Zip : 78501-1892
Country : US
Telephone Number : 956-802-7540
Fax Number : 956-682-4412
Provider Business Practice Location Address
First Line : 202 PALMVIEW DR STE 1
Second Line :
City : PALMVIEW
State : TX
Zip : 78572-9394
Country : US
Telephone Number : 956-225-2625
Fax Number : 956-598-6069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 12/03/2020

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