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Nurse Practitioner Provider
Health Service Clinic/Center in Houston, Texas
NPI 1053624015

Nurse Practitioner Provider is a Health Service Clinic/Center based in Houston, TX and is specialized in Health Service. Nurse Practitioner Provider practices in Houston, TX. The NPI Number for Nurse Practitioner Provider is 1053624015 and holds a License No. (Texas).

The current practice location address for Nurse Practitioner Provider is 2626 S Loop W, Houston, TX and can be reached out via phone at 713-334-1003.

Location: 2626 S Loop W, Houston, TX, 77084-2651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053624015
Provider Name
Nurse Practitioner Provider
Credential
Provider Entity Type
Organization
Address
2626 S Loop W, Houston, TX, 77084-2651
Phone Number
713-334-1003
Fax Number
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
185033102 05 TX
institution
Provider Business Practice Location Address Details
Address
2626 S Loop W
City
Houston
State
Texas
Zip
77054-2654
Phone Number
713-334-1003
Fax Number
person
Provider Business Mailing Address Details
Address
2626 S Loop W
City
Houston
State
Texas
Zip
77054-2654
Phone Number
713-334-1003
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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