Doctor Name: | LAURIE DEANNE FALCON |
NPI Number: | 1891133278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP124009 |
Business Practice Address: | 566 Veteran Dr Pearsall, TX - 780616623 |
Business Phone Number: | 2102314701 |
Business Fax Number: | |
Mailing Address: | 126 Eugene Sasser, SAN ANTONIO |
State: | TX |
Postal Code: | 782601454 |
Phone Number: | 2108875557 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2013 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP124009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |