Individual
MARY ROSE AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGANCP-BC
Contact information
Practice address
12121 RICHMOND AVE, HOUSTON, TX 77082-2432
(281) 679-8282
(281) 679-8290
Mailing address
13026 BELMONT CIR, HOUSTON, TX 77065-5031
(832) 423-0895
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP127065
TX
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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