Individual
MARILYN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P, ACNP
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Mailing address
6565 FANNIN ST, FONDREN 270, HOUSTON, TX 77030-2703
(713) 441-0006
(713) 790-2727
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
613487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790997526
BLUE CROSS BLUE SHIELD
TX
05
—
219966301
—
TX
05
—
219966302
—
TX
01
—
P01045652
RR MEDICARE
TX
Enumeration date
10/11/2007
Last updated
12/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us