Shiby Mathew Wilson, NURSE PRACTITIONER
Nurse Practitioner, Family in Houston, TX. Individual provider (NPI-1).
NPI number1457772048
StatusActive
Last updated in NPPESJan 22, 2015
Details
- NPI
- 1457772048
- Entity type
- Individual (NPI-1)
- Name
- Shiby Mathew Wilson
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2013
- Last updated
- Jan 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 748693 | TX | Yes |
Practice location
1515 Holcombe BlvdHouston, TX 77030-4000
Phone 713-792-6161 · Fax 832-449-5647
Mailing address
Po Box 4439Houston, TX 77210-4439
Phone 713-792-2991
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