Individual
DENICE HILDA MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234
Mailing address
7600 FANNIN ST, HOUSTON, TX 77054-1906
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1134393
TX
Other
Enumeration date
06/02/2023
Last updated
01/17/2024
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