Provider Demographics
NPI:1962142422
Name:GOVEA, LINDA DOLORES (DNP-APRN-FNP-C)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:DOLORES
Last Name:GOVEA
Suffix:
Gender:F
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 1:6801 MCCART AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-6378
Mailing Address - Country:US
Mailing Address - Phone:817-612-6551
Mailing Address - Fax:817-381-7018
Practice Address - Street 1:6801 MCCART AVE STE 109
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-6378
Practice Address - Country:US
Practice Address - Phone:817-612-1551
Practice Address - Fax:817-381-7018
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074010363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner