Individual
MICHAEL PUDLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
6445 MAIN STREET, OPC 26, HOUSTON, TX 77030
(713) 363-9844
Mailing address
6445 MAIN STREET, OPC 26, HOUSTON, TX 77030
(713) 363-9844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
733347
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP119679
TX
Other
Enumeration date
01/04/2012
Last updated
10/01/2018
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