Facts
- Status
- A
- Credential
- FNP
- Type
- Individual
- Enumeration date
- 2022-09-08
- Last updated
- 2022-09-08
Specialties
Licenses
- License TX
- 1077938
Location
- Practice location
- 26103 INTERSTATE 45 STE 100
- City
- SPRING TX
- Postal code
- 773803877
- Phone
- 281-764-9500
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.