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Individual

MS. BLIA HER VANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP/PMHNP

Contact information

Practice address
11920 ASTORIA BLVD, SUITE 110, HOUSTON, TX 77089-6097
(281) 481-4646
(281) 481-4649
Mailing address
12314 LONGBROOK DR, HOUSTON, TX 77099-3024
(864) 279-1839

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
817327
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP120869
TX

Other

Enumeration date
08/16/2006
Last updated
11/01/2016
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