Provider Demographics
NPI:1306251954
Name:QUEEN, DAVID ALAN (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:QUEEN
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 BEE CAVES RD STE B1
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5248
Mailing Address - Country:US
Mailing Address - Phone:512-230-3422
Mailing Address - Fax:804-676-7028
Practice Address - Street 1:4201 BEE CAVES RD STE B200
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6458
Practice Address - Country:US
Practice Address - Phone:512-230-3422
Practice Address - Fax:804-676-7028
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily