MEDICARE: LOLITA ASHWOOD 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
1	363LF0000X	Family Nurse Practitioner	AP130510	TX

General Provider Information

NPI Number	:	1992150304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOLITA ASHWOOD FNP

Provider Business Mailing Address
First Line	:	P. O. BOX 301173
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75303-1173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18220 STATE HIGHWAY 249 STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4349
Country	:	US
Telephone Number	:	281-737-0476
Fax Number	:

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

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	05/26/2026

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