Provider Demographics
NPI:1992236004
Name:FAMILY NURSE PRACTITIONERS OF ALVIN, LLC
Entity type:Organization
Organization Name:FAMILY NURSE PRACTITIONERS OF ALVIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-585-3500
Mailing Address - Street 1:173 TOVREA RD STE C
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2962
Mailing Address - Country:US
Mailing Address - Phone:281-585-3500
Mailing Address - Fax:
Practice Address - Street 1:173 TOVREA RD STE C
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-2962
Practice Address - Country:US
Practice Address - Phone:281-585-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX575249363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty