Individual
CARLY DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4710 BELLAIRE BLVD STE 340, BELLAIRE, TX 77401-4526
(713) 860-1755
Mailing address
123 4TH ST, SUGAR LAND, TX 77498-2615
(281) 978-0757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126710
TX
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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