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1316523897
HAZEL LACISTE
HOUSTON, TX
NPI
1316523897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 1033070)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
HAZEL LACISTE
2368 RICE BLVD STE A246
HOUSTON, TX 77005-2600
Phone number: 832-997-9970
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Mailing Address
HAZEL LACISTE
2368 RICE BLVD STE A246
HOUSTON, TX 77005-2600
Phone number:
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