Individual
ILSE RUBY PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3918 LEELAND ST, HOUSTON, TX 77003-5648
(713) 528-3400
Mailing address
3918 LEELAND ST, HOUSTON, TX 77003-5648
(713) 528-3400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
720094
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP120153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371620101
—
TX
Enumeration date
02/25/2012
Last updated
08/01/2017
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