Individual
DELORES F. DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., CNS
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
588189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155792801
—
TX
01
—
890001263
RR MEDICARE
TX
01
—
8N3384
BCBS
TX
Enumeration date
12/27/2006
Last updated
09/09/2011
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