Organization
BOOST HEALTH AND WELLNESS CLINIC
Active
Organization
BOOST HEALTH AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE W HACKETT NURSE PRACTIONER (NURSE/OWNER)
(281) 410-2210
Entity
Organization
Contact information
Practice address
7070 KNIGHTS CT STE 1004, MISSOURI CITY, TX 77459-4325
(281) 410-2210
(281) 410-2253
Mailing address
7070 KNIGHTS CT STE 1004, MISSOURI CITY, TX 77459-4325
(281) 410-2210
(281) 410-2253
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/27/2023
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