Pavel Jesus Faxas Del Toro, RN
Registered Nurse, Medical-Surgical in Katy, TX. Individual provider (NPI-1).
NPI number1891487245
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1891487245
- Entity type
- Individual (NPI-1)
- Name
- Pavel Jesus Faxas Del Toro
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM0705X | Registered Nurse, Medical-Surgical | 1075261 | TX | Yes |
| 225700000X | Massage Therapist | MT127406 | TX | |
| 163WW0000X | Registered Nurse, Wound Care | 1075261 | TX | |
| 163WH0200X | Registered Nurse, Home Health | 1075261 | TX | |
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | 1075261 | TX |
Practice location
21119 Bridge Springs LnKaty, TX 77449-5069
Phone 832-703-0009
Mailing address
2221 Maple Point Dr NConroe, TX 77301-3168
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