Individual
HEATHER LYNN HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1015 W MEDICAL CENTER BLVD STE 1100, WEBSTER, TX 77598-4055
(281) 316-8888
Mailing address
13703 CORKEN WAY CT, HOUSTON, TX 77034-2365
(409) 781-0146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
839574
TX
363L00000X
Nurse Practitioner
Primary
AP136747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP136747
APRN
TX
Enumeration date
03/20/2018
Last updated
01/30/2020
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