Individual
TRISTA THAMARA BLYTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2950 OLD SPANISH TRL, #171, HOUSTON, TX 77054-2227
(202) 468-8735
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
712836
TX
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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