Individual
KIM PATRICIA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 790-3311
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1035107
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
1035107
TX
Other
Enumeration date
08/20/2021
Last updated
01/12/2024
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