Doctor Name: | DAVID ALAN QUEEN |
NPI Number: | 1306251954 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN, FNP-C |
License Number: | AP125865 |
Business Practice Address: | 12801 Shops Pkwy Suite 400 Bee Cave, TX - 787386323 |
Business Phone Number: | 5127322774 |
Business Fax Number: | |
Mailing Address: | 12801 Shops Pkwy, Suite 400 BEE CAVE |
State: | TX |
Postal Code: | 787386323 |
Phone Number: | 5127322774 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2014 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP125865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |