Organization
NORTHSTAR HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEILAN PETERSON (CEO)
(713) 352-9439
Entity
Organization
Contact information
Practice address
2104 FM 2920 RD, SPRING, TX 77388-3676
(713) 352-9439
Mailing address
5340 WESLAYAN ST # 273407, HOUSTON, TX 77005-1048
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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