Healthcare Provider Details

I. General information

NPI: 1487939633
Provider Name (Legal Business Name): HYLA CHRISTINE LAIRD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 ROSHOLT DR
SPRING TX
77386-3314
US

IV. Provider business mailing address

3114 ROSHOLT DR
SPRING TX
77386-3314
US

V. Phone/Fax

Practice location:
  • Phone: 281-222-0176
  • Fax:
Mailing address:
  • Phone: 281-222-0176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number662560
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: