Organization
OUTCOMES ALLIANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICA MALEIGH WYNN VELA FNP-C (NURSE PRACTITIONER/ OWNER)
(832) 724-4283
Entity
Organization
Contact information
Practice address
2801 VENETO CT, LEAGUE CITY, TX 77573-5006
(832) 724-4283
(832) 200-3636
Mailing address
2801 VENETO CT, LEAGUE CITY, TX 77573-5006
(832) 724-4283
(832) 200-3636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP122501
TX
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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