Individual
AUTUMN LEBAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1724 RICHMOND AVE, HOUSTON, TX 77098-3604
(832) 818-3900
Mailing address
1724 RICHMOND AVE, HOUSTON, TX 77098-3604
(832) 818-3900
(858) 667-6635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1221569
TX
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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