Most Relevant Information
Provider Data
NPI Number: | 1003584186 |
Provider Name: | LAUREN WILSON CASEY PNP-AC |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | 1051456 |
Most Important Dates
Enumeration Date: | 09/02/2021 |
Last Updated: | 11/09/2021 |
Provider Practice Location
6701 FANNIN ST
HOUSTON
TX
770302608
Practice Location Phone/Fax
Phone: | 8328241000 |
Fax: |
Provider Mailing Location
2450 HOLCOMBE BLVD STE NB-34L
HOUSTON
TX
770212039
Provider Mailing Phone/Fax
Phone: | 8328283660 |
Fax: |