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1730598764
DEEPA POULOSE
HOUSTON, TX
NPI
1730598764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP125997)
Enumeration Date
2014-08-04
Last Update Date
2017-10-16
Business Address
DEEPA POULOSE NP
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
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Mailing Address
DEEPA POULOSE NP
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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