Individual
CASEY ELIZABETH FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6701 FANNIN ST STE 540, HOUSTON, TX 77030-2608
(832) 822-3360
Mailing address
6701 FANNIN ST STE 540, HOUSTON, TX 77030-2608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1089345
TX
363LP0200X
Pediatric Nurse Practitioner
1089345
TX
Other
Enumeration date
08/05/2022
Last updated
08/16/2022
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