Provider Demographics
NPI:1215536131
Name:MUSEE, LINNET LITAKULI
Entity type:Individual
Prefix:
First Name:LINNET
Middle Name:LITAKULI
Last Name:MUSEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 E OVILLA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-2616
Mailing Address - Country:US
Mailing Address - Phone:469-719-3690
Mailing Address - Fax:469-719-3680
Practice Address - Street 1:269 E OVILLA RD STE 100
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-2616
Practice Address - Country:US
Practice Address - Phone:469-719-3690
Practice Address - Fax:469-719-3680
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001325363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily