Norbe Luis Basulto Barcelay, LSA, FNP-C
Nurse Practitioner, Family in Katy, TX. Individual provider (NPI-1).
NPI number1861628505
StatusActive
Last updated in NPPESFeb 9, 2023
Details
- NPI
- 1861628505
- Entity type
- Individual (NPI-1)
- Name
- Norbe Luis Basulto Barcelay
- Credential
- LSA, FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2009
- Certification date
- Feb 9, 2023
- Last updated
- Feb 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1102060 | TX | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00474 | TX |
Practice location
29310 Prairie Rose CtKaty, TX 77494-7384
Phone 786-556-8819
Mailing address
29310 Prairie Rose CtKaty, TX 77494-7384
Phone 786-556-8819
Other practice locations
23501 Cinco Ranch Blvd
Katy, TX 77494-3095
Katy, TX 77494-3095
Phone 786-556-8819
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