Katy Neuro & Wellness Center PLLC
Nurse Practitioner, Family in Houston, TX. Organization (NPI-2).
NPI number1699199166
StatusActive
Last updated in NPPESMar 18, 2014
Details
- NPI
- 1699199166
- Entity type
- Organization (NPI-2)
- Legal business name
- Katy Neuro & Wellness Center PLLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2014
- Last updated
- Mar 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 721070 | TX | Yes |
Other names
- Katy Copperfield Primary Care (Doing Business As)
Practice location
4600 Highway 6 NSuite 207
Houston, TX 77084-2884
Phone 281-345-7547
Mailing address
4600 Highway 6 NSuite 207
Houston, TX 77084-2884
Authorized official
Mary Lou Alonso
Owner
2813457547
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