Individual
MARI VAN DER WALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
200 BLOSSOM ST, WEBSTER, TX 77598-4204
(832) 632-6500
Mailing address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 332-3001
(281) 332-3005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1212076
TX
Other
Enumeration date
10/13/2025
Last updated
06/10/2026
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