MEDICARE: VRINDA HYMAVATHY F.N.P

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	363LF0000X	Family Nurse Practitioner	AP126374	TX

General Provider Information

NPI Number	:	1881098374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VRINDA HYMAVATHY F.N.P

Provider Business Mailing Address
First Line	:	12403 AUBREYWOOD LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12403 AUBREYWOOD LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5125
Country	:	US
Telephone Number	:	281-889-0954
Fax Number	:

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

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	10/13/2014

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