Provider Demographics
NPI:1336359355
Name:POWELL, HONEYBEE E, (NP)
Entity type:Individual
Prefix:MS
First Name:HONEYBEE
Middle Name:E,
Last Name:POWELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78156-0274
Mailing Address - Country:US
Mailing Address - Phone:361-853-6682
Mailing Address - Fax:830-875-6398
Practice Address - Street 1:111 S LAUREL AVE
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:TX
Practice Address - Zip Code:78648-2624
Practice Address - Country:US
Practice Address - Phone:830-875-6399
Practice Address - Fax:830-875-6398
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX541264363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health