Individual
LAURA MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
21300 EVA ST STE 100, MONTGOMERY, TX 77356-1899
(936) 597-8585
Mailing address
4581 FM 3081 RD, WILLIS, TX 77378-2403
(936) 203-7787
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP131358
TX
Other
Enumeration date
03/20/2017
Last updated
09/10/2018
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