Most Relevant Information
Provider Data
| NPI Number: | 1003206897 |
| Provider Name: | JACQUELINE VAGLIENTY |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | AP126698 |
Most Important Dates
| Enumeration Date: | 01/31/2015 |
| Last Updated: | 04/05/2024 |
Provider Practice Location
17200 ST LUKES WAY
THE WOODLANDS
TX
773848007
Practice Location Phone/Fax
| Phone: | 9362662000 |
| Fax: |
Provider Mailing Location
6565 FANNIN ST STE B452
HOUSTON
TX
770302703
Provider Mailing Phone/Fax
| Phone: | 7134413620 |
| Fax: |