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Michael Leon Gaines, FNP-C
Family Nurse Practitioner in Port Lavaca, Texas
NPI 1043734882

Michael Leon Gaines is a Family Nurse Practitioner based in Port Lavaca, TX and is specialized in Family. Michael Leon Gaines practices in Port Lavaca, TX and has the professional credentials of FNP-C. The NPI Number for Michael Leon Gaines is 1043734882 and holds a License No. AP134737 (Texas).

The current practice location address for Michael Leon Gaines is 220 Bonham St, Port Lavaca, TX and can be reached out via phone at 361-935-5027.

Location: 220 Bonham St, Port Lavaca, TX, 77979-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043734882
Provider Name
Michael Leon Gaines
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
220 Bonham St, Port Lavaca, TX, 77979-2605
Phone Number
361-935-5027
Fax Number
Provider Enumeration Date
08/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
220 Bonham St
City
Port Lavaca
State
Texas
Zip
77979-2605
Phone Number
361-935-5027
Fax Number
person
Provider Business Mailing Address Details
Address
220 Bonham St
City
Port Lavaca
State
Texas
Zip
77979-2605
Phone Number
361-935-5027
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP134737 (Texas)
Definition
Definition to come...
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