Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Javier Enrique Antique, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1376400580

Javier Enrique Antique, APRN is a Nurse Practitioner in Tyler, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 595-6680
Fax: (903) 592-1934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1020 E Idel St, Tyler, TX 75701-2024 — (903) 535-2902

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1230949 (TX)

Record details

NPI number1376400580
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address1000 S Beckham Ave, Tyler, TX 75701-1908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Tyler