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1336882497
MIA POLK
HOUSTON, TX
NPI
1336882497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX 1075205)
Enumeration Date
2022-04-17
Last Update Date
2022-04-17
Business Address
MIA POLK NP
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-704-2900
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Mailing Address
MIA POLK NP
2031 PAUL QUINN ST
HOUSTON, TX 77091-5435
Phone number:
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