Healthcare Provider Details

I. General information

NPI: 1912318098
Provider Name (Legal Business Name): FILIZ AKLAR OZKAN RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5131 S FRY RD STE 400
KATY TX
77450-7147
US

IV. Provider business mailing address

5131 S FRY RD STE 400
KATY TX
77450-7147
US

V. Phone/Fax

Practice location:
  • Phone: 832-794-0103
  • Fax:
Mailing address:
  • Phone: 832-794-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number670305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: