Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Oct 11, 2024
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 12712 W LAKE HOUSTON PKWY STE B118 | Houston, TX 77044-6467 | 845-325-8505 |
| MAILING | 12712 W LAKE HOUSTON PKWY STE B118 | Houston, TX 77044-6467 | 845-325-8505 |
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