Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jan 28, 2022
License(s)
1069101 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 23234 WILLOW CANYON DR | Katy, TX 77494-3526 | 713-391-7602 |
| LOCATION | 1910 JOHN RALSTON RD STE 100 | Houston, TX 77013-5531 | 713-804-1950 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.