Doctor Name: | MICHAEL LEE CAPPS |
NPI Number: | 1962787614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 640343 |
Business Practice Address: | 322 Coleman St Marlin, TX - 766612358 |
Business Phone Number: | 2548033561 |
Business Fax Number: | 2548036908 |
Mailing Address: | 322 Coleman St, MARLIN |
State: | TX |
Postal Code: | 766612358 |
Phone Number: | 2548033561 |
Fax Number: | 2548036908 |
NPI Enumeration Date: | 10/13/2011 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 640343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |