Provider Demographics
NPI:1144277500
Name:MAXWELL, TONYA RENE' (FNP)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:RENE'
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25622 WILDBROOK XING LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6628
Mailing Address - Country:US
Mailing Address - Phone:281-633-1537
Mailing Address - Fax:281-395-1418
Practice Address - Street 1:21700 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3906
Practice Address - Country:US
Practice Address - Phone:281-599-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX681260363L00000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice