Provider Demographics
NPI:1134400161
Name:HUME, DEBORAH P (RN, MED, CET BCB)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:P
Last Name:HUME
Suffix:
Gender:F
Credentials:RN, MED, CET BCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E RENFRO ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3946
Mailing Address - Country:US
Mailing Address - Phone:817-295-8708
Mailing Address - Fax:817-295-3690
Practice Address - Street 1:308 E RENFRO ST STE 202
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-3946
Practice Address - Country:US
Practice Address - Phone:817-295-8708
Practice Address - Fax:817-295-3690
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103850163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse