Most Relevant Information
Provider Data
| NPI Number: | 1003671132 |
| Provider Name: | KIA WREN LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 311Z00000X |
| Specialty: | Custodial Care Facility |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2024 |
| Last Updated: | 02/19/2024 |
Provider Practice Location
10738 PAULWOOD DR
HOUSTON
TX
770711602
Practice Location Phone/Fax
| Phone: | 5107986813 |
| Fax: | 7138936717 |
Provider Mailing Location
10738 PAULWOOD DR
HOUSTON
TX
770711602
Provider Mailing Phone/Fax
| Phone: | 5107986813 |
| Fax: | 7138936717 |