Provider Demographics
NPI:1598325243
Name:MOYA, VERONICA CASILLAS (APRN FNP-BC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CASILLAS
Last Name:MOYA
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12234 QUEENSTON BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5396
Mailing Address - Country:US
Mailing Address - Phone:832-779-7721
Mailing Address - Fax:
Practice Address - Street 1:12234 QUEENSTON BLVD STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5396
Practice Address - Country:US
Practice Address - Phone:832-779-7721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-15
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily