Individual
JAIME CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16407 LARKFIELD DR, HOUSTON, TX 77059-5414
(713) 210-9991
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221594
TX
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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