Individual
HILARY HERASIMCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ENP
Contact information
Practice address
11800 ASTORIA BLVD, HOUSTON, TX 77089-6041
(281) 929-6100
Mailing address
PO BOX 591572, HOUSTON, TX 77259-1572
(281) 486-0174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
633675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155648201
—
TX
05
—
155648202
—
TX
Enumeration date
09/20/2006
Last updated
05/18/2010
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