INNOVATIVE APN LLC
Nursing at Elm Grove Cir, Austin, TX

License number
Texas AP118688
Category
Nursing
Type
Family
Owner
Name: MR. KENNETH TAM NP-C
Title: NURSE PRACTITIONER
Phone: (512) 291-8076
Address
Address
9301 Elm Grove Cir, Austin, TX 78736
National Provider ID: 1710430509
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INNOVATIVE APN LLC at bizstanding.com

INNOVATIVE APN LLC

Austin, TX

Doing business as:
Innovative Apn LLC
Registration:
Jan 1, 2010
Addresses:
2513 National Park Blvd, Austin, TX 78747 (Mailing)
2021 Bluebonnet Ln, Austin, TX 78704
State ID:
0801197477
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Kenneth Tam (MANAGER, Manager), 2513 National Park Blvd, Austin, TX 78747,Jennifer Pena Managing Member, inactive
TIN:
32040735873

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