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Individual

MOLLY SUE KROLCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6565 FANNIN ST # NB1-041, HOUSTON, TX 77030-2703
(713) 441-4432
(713) 441-4427
Mailing address
11831 SANTA FE TRL, SANTA FE, TX 77510-6618

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
249104
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17942081
TX
Enumeration date
09/26/2006
Last updated
07/08/2007
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