Organization
EQUILIBRE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIOBAIN KAY ROGERS MSN, APRN, FNP-C (PRESIDENT, CEO)
(713) 588-9302
Entity
Organization
Contact information
Practice address
6025 METROPOLITAN DR STE 210, BEAUMONT, TX 77706-2409
(713) 588-9302
Mailing address
6025 METROPOLITAN DR STE 210, BEAUMONT, TX 77706-2409
(713) 588-9302
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
AP130283
TX
Other
Enumeration date
12/15/2016
Last updated
12/28/2016
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