Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Feb 25, 2011
License(s)
AP142801 (TX), 88536 (NM), AP142801 (TX), AP142801 (TX), AP142801 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2646 S LOOP W STE 220 | Houston, TX 77054-2640 | |
| LOCATION | 2646 S LOOP W STE 220 | Houston, TX 77054-2640 | 832-455-1161 |
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