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Individual

VIRGINIA ALAGUGURUSAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
6560 FANNIN ST STE 1404, HOUSTON, TX 77030-2706
(713) 441-5155
Mailing address
6560 FANNIN ST, SUITE 1404, HOUSTON, TX 77030-2761
(713) 441-5155

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP131541
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362779602
TX
01
8539NY
BCBS
TX
01
8540NY
BCBS
TX
Enumeration date
07/27/2016
Last updated
03/17/2018
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