Individual
I-RU LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(281) 435-3773
Mailing address
2 GREENWAY PLZ STE 300, HOUSTON, TX 77046-0207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
632539
TX
363LN0000X
Neonatal Nurse Practitioner
632539
TX
Other
Enumeration date
03/21/2013
Last updated
11/27/2018
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