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Organization
JACKIE WURTZ FNP, INC.
Active
Organization
JACKIE WURTZ FNP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE K WURTZ FNP (OWNER)
(281) 324-1550
Entity
Organization
Contact information
Practice address
11515 FM 1960 RD, SUITE C, HUFFMAN, TX 77336-4431
(281) 324-1550
(281) 324-1555
Mailing address
PO BOX 1365, HUFFMAN, TX 77336-1365
(281) 324-1550
(281) 324-1555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
564809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171697903
—
TX
Enumeration date
03/13/2012
Last updated
03/13/2012
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