Individual
MRS. TACHARRA YVETTE DEGALE LAURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP114200
TX
363LA2100X
Acute Care Nurse Practitioner
715524
TX
363LA2100X
Acute Care Nurse Practitioner
AP114200
TX
Other
Enumeration date
06/07/2006
Last updated
01/25/2023
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