Individual
MR. JARED NATHANIEL WILCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-6543
(713) 704-6599
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1235033
TX
Other
Enumeration date
07/21/2026
Last updated
07/22/2026
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