Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 1001074123 | TX |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1001074123 | TX |
NPI | 1033593215 |
---|---|
Provider Name | Ms. Lorraine Samson Sarreal |
First Address | Houston, TX 77089 |
Second Address | Houston, TX 77089-6097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2015 |
Last Update Date | 16/07/2015 |