Individual
MR. JOHN ROBERT SAN PEDRO FAUSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
18980 WEST MEMORIAL DRIVE, SUITE 100, HUMBLE, TX 77338
(832) 644-8930
Mailing address
3501 CHENEVERT ST APT 11, HOUSTON, TX 77004-4199
(818) 505-4857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
827204
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1071782
TX
Other
Enumeration date
07/25/2022
Last updated
06/05/2025
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