Individual
GUERLINE PAUL DEJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2656 S LOOP W, STE 103, HOUSTON, TX 77054-5632
(713) 728-6734
(713) 728-6735
Mailing address
2656 S LOOP W, STE 103, HOUSTON, TX 77054-5632
(832) 265-6522
(713) 349-9887
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
610758
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
610758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165420401
—
TX
Enumeration date
11/17/2005
Last updated
06/16/2018
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