Individual
HAZEL BISMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
(713) 799-2200
Mailing address
PO BOX 1252, RICHMOND, TX 77406-0032
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
933554
TX
Other
Enumeration date
04/29/2019
Last updated
08/13/2019
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