Jared Walsh, RN
Registered Nurse, Pediatrics in Magnolia, TX. Individual provider (NPI-1).
NPI number1679059596
StatusActive
Last updated in NPPESJul 13, 2018
Details
- NPI
- 1679059596
- Entity type
- Individual (NPI-1)
- Name
- Jared Walsh
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2018
- Last updated
- Jul 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0200X | Registered Nurse, Pediatrics | 920795 | TX | Yes |
Practice location
33003 Greenfield Forest DrMagnolia, TX 77354-2594
Phone 281-682-6082
Mailing address
10325 Cypresswood DrHouston, TX 77070-3416
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