Individual
SUR J. MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS, ANP APRN BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
433614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N2943
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/18/2006
Last updated
07/08/2007
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