Organization
HOLISTIC MISFIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRA ANDREWS RN (OWNER)
(832) 318-3995
Entity
Organization
Contact information
Practice address
23223 FIRST PARK DR APT 7211, KATY, TX 77449-2550
(832) 318-3995
Mailing address
1795 FRY RD STE 368, KATY, TX 77449-3347
(832) 318-3995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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