Individual
MS. SUSAN BOSS CHILUKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
5819 HIGHWAY 6, MISSOURI CITY, TX 77459-4052
(281) 499-6300
Mailing address
137 PHANTURN LN, BELLAIRE, TX 77401-2607
(713) 385-5286
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
678410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678410
PNP LICENSE
TX
Enumeration date
06/22/2007
Last updated
01/14/2008
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