Individual
AMANDA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 EASTSIDE ST STE 200, HOUSTON, TX 77098-1919
(866) 647-5534
Mailing address
PO BOX 130593, SPRING, TX 77393-0593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144187
TX
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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