Individual
MISS KELLY SUSAN SULAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
19782 HIGHWAY 105 W, SUITE 133A, MONTGOMERY, TX 77356-5632
(936) 448-4428
(936) 582-4554
Mailing address
14806 MAVERICK VALLEY LN, CYPRESS, TX 77429-3985
(832) 473-0394
(936) 582-4554
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
63591
TX
Other
Enumeration date
05/25/2006
Last updated
07/21/2022
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