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HOUSTON, TX
NPI1821843731
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  986661)
Enumeration Date2024-04-23
Last Update Date2024-10-17
Business Address
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4825 ALMEDA RD
HOUSTON, TX 77004-5655
Phone number: 713-597-0475
Mailing Address
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13009 GULF COMMERCE DR
HOUSTON, TX 77034-1575
Phone number: