MEDICARE: HAZEL LACISTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	1033070	TX

General Provider Information

NPI Number	:	1316523897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZEL LACISTE

Provider Business Mailing Address
First Line	:	2368 RICE BLVD STE A246
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2368 RICE BLVD STE A246
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2600
Country	:	US
Telephone Number	:	832-997-9970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2021
Last Update Date	:	03/23/2021

Similar Medicare Providers

1487729737 — MS. RHONJEAN GORDON FNP, BC ,ANP-BC
Practice Location Address:

2600 S LOOP W , STE 460
HOUSTON, TX
77054-2653

Practice Phone: 713-664-2228
Practice Fax: 713-664-2228

1881464725 — UPLIFTU COUNSELING, PLLC
Practice Location Address:

2600 GRAMERCY ST APT 214
HOUSTON, TX
77030-3170

Practice Phone: 202-684-6045
Practice Fax:

1114557725 — PATRICK NOWLIN BOWMAN
Practice Location Address:

2600 NORTH LOOP W STE 250
HOUSTON, TX
77092-8915

Practice Phone: 713-843-7000
Practice Fax:

1932102233 — DR. MARK VINCENT EDWARDS D.D.S.
Practice Location Address:

2600 SOUTH LOOP W , STE 410
HOUSTON, TX
77054-2642

Practice Phone: 713-669-9864
Practice Fax: 713-669-9849

1447257183 — DR. DAVID R LIONBERGER M.D.
Practice Location Address:

6550 FANNIN ST STE 2600
HOUSTON, TX
77030-2750

Practice Phone: 713-790-1818
Practice Fax:

1568461515 — JAMES P THOMPSON PH.D
Practice Location Address:

2600 GESSNER STE 286
HOUSTON, TX
77080-3898

Practice Phone: 713-690-2955
Practice Fax: 713-690-2853

Directions to “ HAZEL LACISTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.