Most Relevant Information
Provider Data
| NPI Number: | 1003563537 |
| Provider Name: | REGAN CALE WATERS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1071626 |
Most Important Dates
| Enumeration Date: | 03/04/2022 |
| Last Updated: | 05/31/2022 |
Provider Practice Location
18780 INTERSTATE 20
CANTON
TX
751033593
Practice Location Phone/Fax
| Phone: | 9035674841 |
| Fax: |
Provider Mailing Location
18780 INTERSTATE 20
CANTON
TX
751033593
Provider Mailing Phone/Fax
| Phone: | 9035674841 |
| Fax: |