Provider Demographics
NPI:1831697622
Name:DEMASIADO, FEB RAY FRAMO
Entity type:Individual
Prefix:
First Name:FEB RAY
Middle Name:FRAMO
Last Name:DEMASIADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77492-0243
Mailing Address - Country:US
Mailing Address - Phone:281-712-4722
Mailing Address - Fax:281-712-4723
Practice Address - Street 1:9114 MCPHERSON RD STE 2508
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6511
Practice Address - Country:US
Practice Address - Phone:956-568-3638
Practice Address - Fax:956-568-3665
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135075363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily