person
Bailey Laurel Widstrom, DO
Student in an Organized Health Care Education/Training Program in Houston, Texas
NPI 1124769849

Bailey Laurel Widstrom is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Bailey Laurel Widstrom practices in Houston, TX and has the professional credentials of DO. The NPI Number for Bailey Laurel Widstrom is 1124769849 and holds a License No. (Texas).

The current practice location address for Bailey Laurel Widstrom is 6431 Fannin St Ste Jjl 310, Houston, TX and can be reached out via phone at 713-500-5151 and via fax at 713-500-0612.

Location: 6431 Fannin St Ste Jjl 310, Houston, TX, 77030-1501
person
Provider Profile Details
NPI Number
1124769849
Provider Name
Bailey Laurel Widstrom
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6431 Fannin St Ste Jjl 310, Houston, TX, 77030-1501
Phone Number
713-500-5151
Fax Number
713-500-0612
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6431 Fannin St Ste Jjl 310
City
State
Zip
77030-1501
Phone Number
713-500-5151
Fax Number
713-500-0612
person
Provider Business Mailing Address Details
Address
6431 Fannin St Ste Jjl 310
City
State
Zip
77030-1501
Phone Number
713-500-5151
Fax Number
713-500-0612
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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