Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | NO LICENSE | TEXAS | No |
2 | 163WP0809X | Registered Nurse | Psychiatric/Mental Health, Adult | NO LICESE | TEXAS | No |
3 | 164X00000X | Licensed Vocational Nurse | | NO LICENSE | TEXAS | No |
4 | 171R00000X | Interpreter | | NO LICENSE | TEXAS | No |
5 | 2084P0800X | Psychiatry & Neurology | Psychiatry | NO LICENSE | TEXAS | No |
6 | 363LA2200X | Nurse Practitioner | Adult Health | NO LICENSE | TEXAS | No |
7 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | NO LICENSE | TEXAS | No |
8 | 171M00000X | Case Manager/Care Coordinator | | NO LICENSE | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | 1268443 05 | MEDICAID | TEXAS | |
2 | 1268443 02 | MEDICAID | TEXAS | |
3 | 0197201 01 | MEDICAID | TEXAS | |
4 | 1268443 04 | MEDICAID | TEXAS | |