Individual
LOURDES SOLDEVILLA TABABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-1000
Mailing address
13402 INDIGO SANDS DR, PEARLAND, TX 77584-3418
(832) 355-4244
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
715173
TX
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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