Individual
MRS. MARIA ISABEL DEL PUERTO REAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7617 MISTY LAKE LN, PEARLAND, TX 77581-7537
(281) 692-6300
Mailing address
7617 MISTY LAKE LN, PEARLAND, TX 77581-7537
(281) 692-6300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617190
TX
363LA2200X
Adult Health Nurse Practitioner
26NJ00387200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
617190
TX
Other
Enumeration date
09/07/2012
Last updated
01/08/2014
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