Individual
ETHAN FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6701 FANNIN ST STE 1400, HOUSTON, TX 77030-2613
(800) 226-2379
Mailing address
30711 S HOLLY OAKS CIR, MAGNOLIA, TX 77355-5714
(281) 253-7963
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19126800695
TX
Other
Enumeration date
08/09/2023
Last updated
10/30/2023
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