Individual
COTY BOOZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
18315 MOUNTFIELD DR, HOUSTON, TX 77084-3360
(937) 626-0599
Mailing address
18315 MOUNTFIELD DR, HOUSTON, TX 77084-3360
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1214479
TX
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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