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Ted Chan Kummer JR., FNP
Primary Care Nurse Practitioner in Irving, Texas
NPI 1164736120

Ted Chan Kummer JR. is a Primary Care Nurse Practitioner based in Troy, TX and is specialized in Primary Care. Ted Chan Kummer JR. practices in Irving, TX and has the professional credentials of FNP. The NPI Number for Ted Chan Kummer JR. is 1164736120 and holds a License No. 739803 (Texas).

The current practice location address for Ted Chan Kummer JR. is 4545 Fuller Dr, Irving, TX and can be reached out via phone at 972-870-5511 and via fax at 972-870-5512. You can also correspond with Ted Chan Kummer JR. through the mailing address at PO BOX 1239, TROY, MI - 48099-1239 (mailing address contact number: 248-824-6622).

Location: 4545 Fuller Dr, Irving, TX, 48099-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164736120
Provider Name
Ted Chan Kummer JR.
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
4545 Fuller Dr, Irving, TX, 48099-1239
Phone Number
972-870-5511
Fax Number
972-870-5512
Provider Enumeration Date
08/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4545 Fuller Dr
City
Irving
State
Texas
Zip
75038-6530
Phone Number
972-870-5511
Fax Number
972-870-5512
person
Provider Business Mailing Address Details
Address
4545 Fuller Dr
City
Irving
State
Texas
Zip
75038-6530
Phone Number
972-870-5511
Fax Number
972-870-5512
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
739803 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
739803 (Texas)
Definition
Definition to come...
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