Individual
HALEY EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-2030
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
908338
TX
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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