Individual provider · Type 1 NPI

Jocelyn Derienne Mack Ursua

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1053985192 Active

Practice location

6431 Fannin Street, Msb 1.134
Houston, TX 77030

Call (318) 210-7066 Map

Mailing address

6431 Fannin St, Msb 1.134
Houston, TX 77030-1501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053985192

Jocelyn Derienne Mack Ursua's National Provider Identifier is 1053985192, issued on May 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on May 18, 2021.