MEDICARE: HANA SVEJDOVA

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
1	163W00000X	Registered Nurse	744172	TX
2	363LF0000X	Family Nurse Practitioner	AP136146	TX

General Provider Information

NPI Number	:	1487168415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANA SVEJDOVA

Provider Business Mailing Address
First Line	:	6919 ECKNER DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-5826
Country	:	US
Telephone Number	:	361-558-5875
Fax Number	:

Provider Business Practice Location Address
First Line	:	3315 S. ALAMEDA STR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-7841
Country	:	US
Telephone Number	:	361-761-5017
Fax Number	:	361-761-1527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	08/23/2021

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Directions to “ HANA SVEJDOVA ” Practice Location

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