Individual
MISS NONGLAK PORAMAPORNPILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8218 HORSETAIL CT, CONROE, TX 77385-1102
(935) 223-5351
Mailing address
8218 HORSETAIL CT, CONROE, TX 77385-1102
(935) 223-5351
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1046715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22423616
DRIVER LICENSE
TX
Enumeration date
07/12/2021
Last updated
07/12/2021
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