Individual
MINDY MARIE HAVERLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1601 MAIN ST STE 401, RICHMOND, TX 77469-3244
(281) 342-9530
Mailing address
950 E STATE HIGHWAY 114 STE 200, SOUTHLAKE, TX 76092-5261
(214) 424-2200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1192786
TX
Other
Enumeration date
03/12/2025
Last updated
07/07/2025
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