Individual
ALEXIS LISCUM EDMUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 GESSNER RD STE 985, HOUSTON, TX 77024-2558
(713) 461-9100
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
892782
TX
363LF0000X
Family Nurse Practitioner
Primary
1072492
TX
Other
Enumeration date
11/17/2021
Last updated
04/13/2022
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