Individual
MRS. MARIA VICTORIA EDQUILANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
(281) 992-4300
Mailing address
2627 CREEK TERRACE DR, MISSOURI CITY, TX 77459-2352
(832) 232-1909
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP133230
TX
363LG0600X
Gerontology Nurse Practitioner
AP133230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-5350678
TAX ID
TX
Enumeration date
02/14/2017
Last updated
01/17/2022
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