Individual
MATTHEW ALLEN WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
7614 DANE HILL DR, SPRING, TX 77389-3441
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP143444
TX
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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