Individual
MRS. HOLLIE WERTS FULGHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-5703
Mailing address
6534 AUDEN ST, HOUSTON, TX 77005-4302
(713) 666-4459
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
648128
TX
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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