Individual
DYCHETTA MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9415 BROADWAY ST STE 201, PEARLAND, TX 77584-8094
(832) 890-6814
Mailing address
3422 BUSINESS CENTER DR STE 106, PEARLAND, TX 77584-4159
(832) 890-6814
(832) 890-6814
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1200595
TX
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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