Healthcare Provider Details

I. General information

NPI: 1821009234
Provider Name (Legal Business Name): ALICE P. MORANT NA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 S. GESSER RD. APT 409
HOUSTON TX
77063
US

IV. Provider business mailing address

2250 S. GESSER RD. APT 409
HOUSTON TX
77063
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-1414
  • Fax:
Mailing address:
  • Phone: 713-791-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number0000
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: