Organization · Type 2 NPI

Ut Physicians

Nurse Practitioner · Houston, TX

NPI number 1164636486 Active

Practice location

5656 Kelley St
Houston, TX 77026-1967

Mailing address

P O Box 201088
Houston, TX 77216-1088

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164636486

Ut Physicians's National Provider Identifier is 1164636486, issued on May 9, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Houston, TX. The record was last updated on Sep 11, 2025.