MAGDALENA DEATON


Address: 4801 Woodway Dr Ste 369w, Houston, TX 77056-1892
Phone: 7136227060

MAGDALENA DEATON (NPI# 1285281303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285281303
Entity Type Individual
Full Name MAGDALENA DEATON
Other Name MISS MAGDA DEATON
Credential MSN, MPH, APRN, AGNP
Practice Address 4801 Woodway Dr Ste 369w
Houston
TX 77056-1892
Mailing Address 7615 Club Lake Dr
Houston
TX 77095-2623
Practice Telephone 7136227060
Mailing Telephone 8324535573
Enumeration Date 2019-08-22
Last Update Date 2020-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 824429 TX Nursing Service Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP140826 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7615 Club Lake Dr, Houston, TX 770952623 8324535573

Office Location

Street Address 4801 WOODWAY DR STE 369W
City HOUSTON
State TX
Zip Code 77056-1892

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City HOUSTON
Zip Code 77056

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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