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Individual

JASMINE J SACUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6651 MAIN ST, HOUSTON, TX 77030-2351
(832) 824-1000
Mailing address
4600 GULF FWY, HOUSTON, TX 77023

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP138263
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3900185-02
TX
05
390018501
TX
Enumeration date
08/20/2018
Last updated
11/11/2024
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