Individual
JAMIE HAUERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 FANNIN ST STE B452, HOUSTON, TX 77030
(713) 441-3620
Mailing address
6565 FANNIN ST STE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
679317
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP125346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339507102
—
TX
Enumeration date
03/14/2014
Last updated
04/22/2019
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