Provider Demographics
NPI:1073557062
Name:HOWERTON, GINGER M (RN-CNS)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:M
Last Name:HOWERTON
Suffix:
Gender:F
Credentials:RN-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 W MCDERMOTT DR
Mailing Address - Street 2:SUITE 116, PMB 348
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6510
Mailing Address - Country:US
Mailing Address - Phone:214-315-6021
Mailing Address - Fax:214-383-0089
Practice Address - Street 1:4001 W 15TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5841
Practice Address - Country:US
Practice Address - Phone:214-473-7570
Practice Address - Fax:214-473-7680
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX592932364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110787201Medicaid
TX110787201Medicaid
TXCN0039Medicare PIN
TXCN0038Medicare PIN