Provider Demographics
NPI:1073065025
Name:REFUGIO, MERCEDITA LEI (FNP)
Entity Type:Individual
Prefix:
First Name:MERCEDITA
Middle Name:LEI
Last Name:REFUGIO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1526
Mailing Address - Country:US
Mailing Address - Phone:630-803-9456
Mailing Address - Fax:832-288-5200
Practice Address - Street 1:9000 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1526
Practice Address - Country:US
Practice Address - Phone:630-803-9456
Practice Address - Fax:832-288-5200
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AP132742OtherLICENSE