Individual
MS. SUSAN MARY ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1504 TAUB LOOP, PHYSICIAN SERVICES ADMINISTRATION, HOUSTON, TX 77030-1608
(713) 873-6019
(713) 440-1270
Mailing address
1504 TAUB LOOP, PHYSICIAN SERVICES ADMINISTRATION, HOUSTON, TX 77030-1608
(713) 873-6019
(713) 440-1270
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
740118
TX
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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