Individual
DR. ALISHA APRIELLE WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2506 MONARCH TERRACE DR APT 2707, KATY, TX 77494-0669
(510) 798-0153
(713) 893-6717
Mailing address
2506 MONARCH TERRACE DR APT 2707, KATY, TX 77494-0669
(510) 798-0153
(713) 893-6717
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M9749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417918384
TRI CARE SOUTH
TX
05
—
213105401
—
TX
01
—
8CH899
BCBS TX
TX
Enumeration date
03/30/2006
Last updated
05/17/2019
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