Individual
BETHANY WRIGHT MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
6410 FANNIN ST, HOUSTON, TX 77030-3000
(888) 488-3627
Mailing address
7000 FANNIN ST STE 1020, HOUSTON, TX 77030-5400
(713) 500-3962
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
AP145883
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP145883
TX
Other
Enumeration date
08/29/2020
Last updated
03/15/2021
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