Individual
JODY THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6400 FANNIN ST, HOUSTON, TX 77030-1521
(713) 486-5100
(713) 512-7203
Mailing address
4409 CREEKBEND DR, HOUSTON, TX 77035-5011
(713) 894-5661
(713) 512-7203
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP127299
TX
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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