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Individual

SHREDA PAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-C, ACHPN

Contact information

Practice address
915 W 41ST ST, HOUSTON, TX 77018-5301
(713) 530-0697
Mailing address
915 W 41ST ST, HOUSTON, TX 77018-5301
(713) 530-0697

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
620566
TX
363L00000X
Nurse Practitioner
Primary
AP113255
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y9623
BLUE CROSS
Enumeration date
09/30/2006
Last updated
08/08/2024
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