Organization
ADRIENNE L MYNATT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE L MYNATT NURSE PRACTITIONER (OWNER / NURSE PRACTITIONER)
(281) 440-7399
Entity
Organization
Contact information
Practice address
2611 CYPRESS CREEK PKWY, STE D102, HOUSTON, TX 77068-3731
(281) 440-7399
(281) 440-7403
Mailing address
2611 CYPRESS CREEK PKWY, STE D102, HOUSTON, TX 77068-3731
(281) 440-7399
(281) 440-7403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
720296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
720296
NURSE PRACTITIONER LICENSE
TX
Enumeration date
09/28/2012
Last updated
09/28/2012
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