Individual
CAITLIN MARIE KONWISARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 867-2000
Mailing address
25115 LAKECREST GLEN DR, KATY, TX 77493-4017
(512) 785-2520
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1031921
TN
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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