Individual
MARI VAN DER WALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1302 W FOREST DR, HOUSTON, TX 77043-4524
(816) 803-1910
Mailing address
1302 W FOREST DR, HOUSTON, TX 77043-4524
(816) 803-1910
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1212076
TX
Other
Enumeration date
10/13/2025
Last updated
12/23/2025
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