Individual
ADRIENNE LYNETTE MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2611 CYPRESS CREEK PKWY, STE D102, HOUSTON, TX 77068-3731
(281) 440-7399
(281) 440-7403
Mailing address
2611 CYPRESS CREEK PKWY, STE D102, HOUSTON, TX 77068-3731
(281) 440-7399
(281) 440-7403
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
720296
TX
363LF0000X
Family Nurse Practitioner
Primary
720296
TX
363LP0200X
Pediatric Nurse Practitioner
720296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
720296
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/11/2006
Last updated
09/28/2012
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