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NPI Code Detail

MEDICARE: PRACTITIONERS IN COLLABORATION PIC INC

MEDICARE: PRACTITIONERS IN COLLABORATION PIC INC
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
1363LA2200XAdult Health Nurse Practitioner
2363LF0000XFamily Nurse Practitioner
3363LG0600XGerontology Nurse Practitioner

General Provider Information

NPI Number : 1336522341
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRACTITIONERS IN COLLABORATION PIC INC
Provider Business Mailing Address
First Line : 17117 WESTHEIMER RD # 7
Second Line :
City : HOUSTON
State : TX
Zip : 77082-1259
Country : US
Telephone Number : 832-646-0581
Fax Number : 832-916-3003
Provider Business Practice Location Address
First Line : 17117 WESTHEIMER RD # 7
Second Line :
City : HOUSTON
State : TX
Zip : 77082-1259
Country : US
Telephone Number : 832-646-0581
Fax Number :
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : SELEINA KIROREI
Credential : NP
Telephone Number : 832-646-0581
Provider Enumeration Date : 07/08/2015
Last Update Date : 09/21/2015

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Directions to “PRACTITIONERS IN COLLABORATION PIC INC ” Practice Location

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