Individual
MRS. MATTIE JEAN MCCOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
18550 I H 45 S, SHENANDOAH, TX 77384-4119
(281) 364-2000
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(281) 432-9215
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
696163
TX
Other
Enumeration date
12/07/2012
Last updated
02/16/2016
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