Individual
ANNA POULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 HOLCOMBE BLVD UNIT 455, HOUSTON, TX 77030-4000
(713) 563-0984
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP06423
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP121150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346977701
—
TX
Enumeration date
04/18/2012
Last updated
09/08/2015
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