Individual
DEBRA LYNN RADOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC GNP
Contact information
Practice address
711 W BAY AREA BLVD, SUIT 500, WEBSTER, TX 77598-4043
(281) 554-2200
Mailing address
711 W BAY AREA BLVD, SUIT 500, WEBSTER, TX 77598-4043
(281) 554-2200
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
253968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038057802
—
TX
Enumeration date
08/01/2006
Last updated
10/28/2008
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