Individual
JACY K. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
689832
TN
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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