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Individual

MRS. MARIE R. BORGELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-0006
Mailing address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-0006

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP131724
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366121701
TX
01
8191NZ
BCBS
TX
Enumeration date
09/01/2016
Last updated
12/08/2017
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