Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 436864 | TX |
NPI | 1679698211 |
---|---|
Provider Name | Claire Svrcek |
First Address | Houston, TX 77059-5219 |
Second Address | Pasadena, TX 77503-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
436864 | STATE RN LICENSE (01) | TX |