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Jeremiah E Bast, FNP-C
Family Nurse Practitioner in Victoria, Texas
NPI 1790270106

Jeremiah E Bast is a Family Nurse Practitioner based in Victoria, TX and is specialized in Family. Jeremiah E Bast practices in Victoria, TX and has the professional credentials of FNP-C. The NPI Number for Jeremiah E Bast is 1790270106 and holds a License No. AP137843 (Texas).

The current practice location address for Jeremiah E Bast is 605 E San Antonio St Ste 509E, Victoria, TX and can be reached out via phone at 361-573-6351 and via fax at 361-575-6455.

Location: 605 E San Antonio St Ste 509E, Victoria, TX, 77901-3818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790270106
Provider Name
Jeremiah E Bast
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
605 E San Antonio St Ste 509E, Victoria, TX, 77901-3818
Phone Number
361-573-6351
Fax Number
361-575-6455
Provider Enumeration Date
06/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
605 E San Antonio St Ste 509E
City
Victoria
State
Texas
Zip
77901-6079
Phone Number
361-573-6351
Fax Number
361-575-6455
person
Provider Business Mailing Address Details
Address
605 E San Antonio St Ste 509E
City
Victoria
State
Texas
Zip
77901-6079
Phone Number
361-573-6351
Fax Number
361-575-6455
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP137843 (Texas)
Definition
Definition to come...
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