Basic Information
Provider Information
NPI: 1033887955
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHOUNASALIA
FirstName: ANIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7110 AVIGNON DR
Address2:  
City: ROUND ROCK
State: TX
PostalCode: 786815332
CountryCode: US
TelephoneNumber: 5129033545
FaxNumber:  
Practice Location
Address1: 2400 ROUND ROCK AVE
Address2:  
City: ROUND ROCK
State: TX
PostalCode: 786814004
CountryCode: US
TelephoneNumber: 5123411000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/03/2021
LastUpdateDate: 09/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X1048070TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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