Individual
MRS. ALICIA A JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, BSN, RN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
717432
TX
364SA2200X
Adult Health Clinical Nurse Specialist
R 178585-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302868001
—
TX
01
—
882N39
BCBS
TX
Enumeration date
03/13/2008
Last updated
10/25/2012
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