Individual
THEODORA ALICE KAWSZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16605 SOUTHWEST FREEWAY, SUITE 175, SUGARLAND, TX 77479
(281) 302-5673
Mailing address
PO BOX 20547, HOUSTON, TX 77225
(832) 544-1056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137490
TX
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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