Organization · NPI-2

Avery Integrative Healthcare Services

Nurse Practitioner · Cypress, TX

NPI number1194245738
StatusActive
Last updated in NPPESJul 27, 2017

Details

NPI
1194245738
Entity type
Organization (NPI-2)
Legal business name
Avery Integrative Healthcare Services
Organization subpart
No
Enumeration date
Jun 25, 2017
Last updated
Jul 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

15030 Wildberry Creek Ct
Cypress, TX 77433-2241

Phone 12624551093

Mailing address

15030 Wildberry Creek Ct
Cypress, TX 77433-2241

Phone 12624551093

Authorized official

Tamika Suzanne Lewis
Nurse Practitoner
2624551093

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