Individual
MRS. ALICIA KAREN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
4375 BOOTH CALLOWAY RD STE 505, NORTH RICHLAND HILLS, TX 76180-8359
(972) 566-4822
Mailing address
1600 W COLLEGE ST, SUITE 110, GRAPEVINE, TX 76051-3580
(817) 424-5959
(817) 416-7441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
609770
TX
363LA2100X
Acute Care Nurse Practitioner
609770
TX
Other
Enumeration date
10/23/2009
Last updated
01/04/2022
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