Individual
MARIA LUZALIE CARMONA NIANGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP, NP-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
611245
TX
363LF0000X
Family Nurse Practitioner
611245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186526301
—
TX
01
—
8Y0823
BCBS
TX
01
—
P00618608
RR MEDICARE
TX
Enumeration date
10/25/2006
Last updated
08/20/2011
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