Provider Demographics
NPI:1326493933
Name:ESTEBAN, ESTELLA A (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:ESTELLA
Middle Name:A
Last Name:ESTEBAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:ESTELLA
Other - Middle Name:A
Other - Last Name:ESTEBAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2550
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-486-1625
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2550
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-486-1625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily