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Organization
UT HEALTH SCIENCE CENTER - PEDIATRIC PULMONARY
Active
Organization
UT HEALTH SCIENCE CENTER - PEDIATRIC PULMONARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE DA COSTA - PANY FNP (NURSE PRACTITIONER)
(832) 533-5988
Entity
Organization
Contact information
Practice address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(832) 325-6516
Mailing address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(832) 325-6516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131407
TX
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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