Healthcare Provider Details

I. General information

NPI: 1174086003
Provider Name (Legal Business Name): LUISA M ALZATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LUISA M CHOPRA RN

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 BERTNER AVE
HOUSTON TX
77030-3901
US

IV. Provider business mailing address

708 LITTLE JOHN LN
HOUSTON TX
77024-3608
US

V. Phone/Fax

Practice location:
  • Phone: 832-741-8607
  • Fax:
Mailing address:
  • Phone: 832-741-8607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0100X
TaxonomyGastroenterology Registered Nurse
License Number859750
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: