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Individual

MRS. MARIVIC VERGARA TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10334 ERSKINE CT, HOUSTON, TX 77070-4878
(832) 293-7168
Mailing address
10334 ERSKINE CT, HOUSTON, TX 77070-4878
(832) 293-7168

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
621078
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP144370
TX

Other

Enumeration date
11/01/2019
Last updated
06/24/2020
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