Provider Demographics
NPI:1205901204
Name:LOUNDS, NANCY W (PA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:W
Last Name:LOUNDS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:3800 BAKER DR
Mailing Address - Street 2:GATOR AID HOPE SBC
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-5916
Mailing Address - Country:US
Mailing Address - Phone:281-229-6257
Mailing Address - Fax:281-229-6414
Practice Address - Street 1:3800 BAKER DR
Practice Address - Street 2:GATOR AID HOPE SBC
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-5916
Practice Address - Country:US
Practice Address - Phone:281-229-6257
Practice Address - Fax:281-229-6414
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00535363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant