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Individual

ASHLIN CHARBONEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1181827
TX
363LF0000X
Family Nurse Practitioner
25971
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q052426
TN
Enumeration date
07/25/2019
Last updated
03/04/2025
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