Individual
FANCIMOL PALLATHUMADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, MBA
Contact information
Practice address
9000 SOUTHWEST FWY STE 200, HOUSTON, TX 77074-1529
(832) 400-2333
Mailing address
9000 SOUTHWEST FWY STE 200, HOUSTON, TX 77074-1529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
712785
TX
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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