Individual
IMELDA LAWAS DUTERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
(281) 540-7700
Mailing address
24201 EMERSON CREEK LN, PORTER, TX 77365-8811
(128) 135-4069
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1022169
TX
363L00000X
Nurse Practitioner
Primary
1022169
TX
Other
Enumeration date
12/23/2021
Last updated
06/14/2023
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