MEDICARE: DR. EYLIN FRAZIER DNP, APRN, PMHNP-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
1	163WC1600X	Continuing Education/Staff Development Registered Nurse	943469	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1181376	TX

General Provider Information

NPI Number	:	1902674245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EYLIN FRAZIER DNP, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	8007 RANIC DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1722
Country	:	US
Telephone Number	:	832-894-0484
Fax Number	:

Provider Business Practice Location Address
First Line	:	8007 RANIC DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1722
Country	:	US
Telephone Number	:	832-894-0484
Fax Number	:

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

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	12/20/2024

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