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Clint S Lanford, FNP-C
Family Nurse Practitioner in Tyler, Texas
NPI 1881105088

Clint S Lanford is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Clint S Lanford practices in Tyler, TX and has the professional credentials of FNP-C. The NPI Number for Clint S Lanford is 1881105088 and holds a License No. AP135380 (Texas).

The current practice location address for Clint S Lanford is 703 S Fleishel Ave Ste 5000, Tyler, TX and can be reached out via phone at 903-606-7525 and via fax at 903-606-7284.

Location: 703 S Fleishel Ave Ste 5000, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881105088
Provider Name
Clint S Lanford
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
703 S Fleishel Ave Ste 5000, Tyler, TX, 75284-6098
Phone Number
903-606-7525
Fax Number
903-606-7284
Provider Enumeration Date
10/16/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MEDICARE 01 TX 616096YMAF
378693101 05 TX
8HY590 01 TX BCBS
P01938179 01 TX MEDICARE RAIL ROAD
75-2616977-123 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
703 S Fleishel Ave Ste 5000
City
Tyler
State
Texas
Zip
75701-2015
Phone Number
903-606-7525
Fax Number
903-606-7284
person
Provider Business Mailing Address Details
Address
703 S Fleishel Ave Ste 5000
City
Tyler
State
Texas
Zip
75701-2015
Phone Number
903-606-7525
Fax Number
903-606-7284
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP135380 (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
Family
Taxonomy
363LF0000X
License No.
AP135380 (Texas)
Definition
Definition to come...
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