Individual
GREGORY V POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6550 FANNIN ST STE 1901, HOUSTON, TX 77030
(713) 441-1100
Mailing address
6550 FANNIN ST STE 1901, HOUSTON, TX 77030-2719
(713) 441-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626529
TX
363LA2100X
Acute Care Nurse Practitioner
0370815-28
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP11810
TX
Other
Enumeration date
08/07/2006
Last updated
10/04/2018
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