Individual
KEAGAN GLYN MOURET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2615 SOUTHWEST FWY STE 140, HOUSTON, TX 77098-4609
(713) 441-2779
Mailing address
2615 SOUTHWEST FWY STE 140, HOUSTON, TX 77098-4609
(713) 441-2779
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
881703
TX
363L00000X
Nurse Practitioner
Primary
AP145185
TX
Other
Enumeration date
09/19/2019
Last updated
09/19/2024
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