Individual
HAZEL LACISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2368 RICE BLVD STE A246, HOUSTON, TX 77005-2600
(832) 997-9970
Mailing address
2368 RICE BLVD STE A246, HOUSTON, TX 77005-2600
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1033070
TX
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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