FRISTANTO KURNIAWAN

SHENANDOAH, TX
NPI1821600487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  1006744)
Enumeration Date2020-08-17
Last Update Date2022-07-05
Business Address
FRISTANTO KURNIAWAN MSN, RN, AGACNP-BC
9250 PINECROFT DR
SHENANDOAH, TX 77380-3218
Phone number: 713-897-2300
Mailing Address
FRISTANTO KURNIAWAN MSN, RN, AGACNP-BC
1111 MEDICAL PLAZA DR STE 250
THE WOODLANDS, TX 77380-3477
Phone number: 281-296-8788
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