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Individual

DAGMAR MONIQUE DECLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6400 FANNIN ST STE 2350, HOUSTON, TX 77030-1554
(713) 486-6740
Mailing address
6400 FANNIN ST STE 2350, HOUSTON, TX 77030-1554
(713) 486-6740

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
1010474
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1010474
TX

Other

Enumeration date
03/12/2021
Last updated
04/22/2021
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