Individual
CISSIMOL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
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
AP126521 / RN 739760
TX
363LG0600X
Gerontology Nurse Practitioner
AP126521
TX
364SA2200X
Adult Health Clinical Nurse Specialist
AP126521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343301301
—
TX
Enumeration date
01/05/2015
Last updated
04/29/2015
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