institution
Lighthouse Health Clinic
Pediatric Nurse Practitioner in Cedar Park, Texas
NPI 1780710319

Lighthouse Health Clinic is a Pediatric Nurse Practitioner based in Cedar Park, TX and is specialized in Pediatrics. Lighthouse Health Clinic practices in Cedar Park, TX. The NPI Number for Lighthouse Health Clinic is 1780710319 and holds a License No. 629991 (Texas).

The current practice location address for Lighthouse Health Clinic is 601 E Whitestone Blvd, Cedar Park, TX and can be reached out via phone at 512-528-9996 and via fax at 512-528-9070.

Location: 601 E Whitestone Blvd, Cedar Park, TX, 78613-9015
institution
Provider Profile Details
NPI Number
1780710319
Provider Name
Lighthouse Health Clinic
Credential
Provider Entity Type
Organization
Address
601 E Whitestone Blvd, Cedar Park, TX, 78613-9015
Phone Number
512-528-9996
Fax Number
512-528-9070
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
98261 01 TX NATIONAL CERTIFICATION PN
02468 01 TX PRESCRIPTIVE AUTHORITY #
629991 01 TX ADVANCED PRACTICE NURSE
institution
Provider Business Practice Location Address Details
Address
601 E Whitestone Blvd
City
State
Zip
78613-9015
Phone Number
512-528-9996
Fax Number
512-528-9070
person
Provider Business Mailing Address Details
Address
601 E Whitestone Blvd
City
State
Zip
78613-9015
Phone Number
512-528-9996
Fax Number
512-528-9070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
629991 (Texas)
Definition
Definition to come...
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