Individual
MRS. MARIDEL OPADA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-4565
(713) 441-4427
Mailing address
6565 FANNIN ST, MGJ 11-002 NURSE PRACTITIONER PROGRAM, HOUSTON, TX 77030-2703
(713) 441-4595
(713) 441-4427
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A1106101
TX
Other
Enumeration date
08/23/2007
Last updated
01/07/2009
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