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1043911936
CRYSTAL PARK
HOUSTON, TX
NPI
1043911936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1103075)
Enumeration Date
2023-03-16
Last Update Date
2023-03-19
Business Address
CRYSTAL PARK
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-704-4000
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Mailing Address
CRYSTAL PARK
3300 16TH ST NW APT 813
WASHINGTON, DC 20010-2259
Phone number: 301-706-1734
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