Most Relevant Information
Provider Data
| NPI Number: | 1003388406 |
| Provider Name: | GUSTAVO ALCANTAR ALEMAN PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | AP139970 |
Most Important Dates
| Enumeration Date: | 12/23/2018 |
| Last Updated: | 12/23/2018 |
Provider Practice Location
4730 COLLEGE DRIVE
VERNON
TX
76384
Practice Location Phone/Fax
| Phone: | 9405529901 |
| Fax: |
Provider Mailing Location
2815 TOLAR STREET
VERNON
TX
76384
Provider Mailing Phone/Fax
| Phone: | 2146327574 |
| Fax: |