Individual
AMY L. PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST, SUITE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
VP004125P
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
759588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386620318
BCBS
TX
05
—
286190801
—
TX
Enumeration date
12/21/2005
Last updated
01/25/2012
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