Individual
ALLYSON RENEE HOUSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2892
Mailing address
9303 BRITTANY HILL RD, SANGER, TX 76266-6962
(940) 395-1478
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
785651
TX
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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