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Individual

CHARISSE CO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDMS

Contact information

Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 867-3341
Mailing address
2406 STONECREST DR, HOUSTON, TX 77018-7149

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
135146
OR

Other

Enumeration date
05/08/2020
Last updated
05/08/2020
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