KELLUM ROBERT TICE

CYPRESS, TX
NPI1295098085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  730287)
Enumeration Date2012-06-18
Last Update Date2012-06-19
Business Address
-- KELLUM ROBERT TICE NP
21214 NORTHWEST FWY
CYPRESS, TX 77429-3373
Phone number: 832-912-3500
Mailing Address
-- KELLUM ROBERT TICE NP
9301 S WESTERN AVE
OKLAHOMA CITY, OK 73139-2767
Phone number: 866-321-8433
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