Individual
MARIA AGNES REGONDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(281) 420-8600
(281) 420-8414
Mailing address
8025 VILLAGE DR, BEAUMONT, TX 77713-8486
(409) 658-9558
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1179938
TX
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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