Doctor Name: | MS. PHEBA PAPPACHAN |
NPI Number: | 1053757179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 711462 |
Business Practice Address: | 1100 Fm 1092 Rd Suite H Missouri City, TX - 774591585 |
Business Phone Number: | 2814996444 |
Business Fax Number: | |
Mailing Address: | 1100 Fm 1092 Rd, Suite H MISSOURI CITY |
State: | TX |
Postal Code: | 774591585 |
Phone Number: | 2814996444 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2013 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 711462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |