Individual
GIEZLE DEGAMO GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1059114
TX
363LG0600X
Gerontology Nurse Practitioner
1059114
TX
Other
Enumeration date
06/08/2021
Last updated
03/01/2023
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