Individual
MRS. MAGDALENE WILLIAMS IKOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 RENE CT, SUGAR LAND, TX 77479-5354
(281) 491-0607
(281) 491-0607
Mailing address
1303 RENE CT, SUGAR LAND, TX 77479-5354
(281) 736-9962
(281) 736-9962
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
644603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220040398
—
TX
Enumeration date
05/16/2007
Last updated
01/29/2015
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