Susan Boss Chilukuri, C.P.N.P.
Nurse Practitioner, Pediatrics in Missouri City, TX. Individual provider (NPI-1).
NPI number1508062001
StatusActive
Last updated in NPPESJan 14, 2008
Details
- NPI
- 1508062001
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Boss Chilukuri
- Credential
- C.P.N.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2007
- Last updated
- Jan 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 678410 | TX | Yes |
Practice location
5819 Highway 6Missouri City, TX 77459-4052
Phone 281-499-6300
Mailing address
137 Phanturn LnBellaire, TX 77401-2607
Phone 713-385-5286
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