Individual
DEALLEN BURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14412 JASMINE TERRACE LN, HOUSTON, TX 77047-2979
(832) 771-9088
Mailing address
14412 JASMINE TERRACE LN, HOUSTON, TX 77047-2979
(832) 771-9088
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
716939
TX
Other
Enumeration date
11/01/2006
Last updated
01/11/2012
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