Doctor Name: | ELIZABETH HUERTA |
NPI Number: | 1275715583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 638649 |
Business Practice Address: | 110 N D Salinas Ave Donna, TX - 785372926 |
Business Phone Number: | 9563775545 |
Business Fax Number: | |
Mailing Address: | 110 N D Salinas Ave, DONNA |
State: | TX |
Postal Code: | 785372926 |
Phone Number: | 9563775545 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 638649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |