Individual
MS. ANGELLA SHARON BASSARAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP117895/RN784505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210310310
—
TX
Enumeration date
11/05/2007
Last updated
02/21/2017
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