Provider Demographics
NPI:1225725328
Name:TEXON, CARMENCITA A
Entity Type:Individual
Prefix:
First Name:CARMENCITA
Middle Name:A
Last Name:TEXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 HIGH STONE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-0121
Mailing Address - Country:US
Mailing Address - Phone:832-231-9917
Mailing Address - Fax:
Practice Address - Street 1:18300 KATY FWY STE 425
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1536
Practice Address - Country:US
Practice Address - Phone:832-522-8560
Practice Address - Fax:832-522-8561
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111609363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care