Individual
LLUVIALY FAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 790-3311
Mailing address
2003 S JOHNSON ST, ALVIN, TX 77511-4337
(832) 607-4146
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1075057
TX
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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