Provider Demographics
NPI:1306240247
Name:HALLMAN, LUCINDA HOWELL (PNP-BC)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:HOWELL
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 PRESTON RD
Mailing Address - Street 2:STE. 1
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3411 PRESTON RD
Practice Address - Street 2:STE. 1
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9010
Practice Address - Country:US
Practice Address - Phone:214-618-3920
Practice Address - Fax:214-618-3921
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126674363LP0200X
TX776551163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse