Individual provider · Type 1 NPI

Mary Rose Agustin, AGANCP-BC

Acute Care Nurse Practitioner · Houston, TX

NPI number 1467846758 Active

Practice location

12121 Richmond Ave
Houston, TX 77082-2432

Fax (281) 679-8290

Mailing address

13026 Belmont Cir
Houston, TX 77065-5031

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP127065 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1467846758

Mary Rose Agustin, AGANCP-BC's National Provider Identifier is 1467846758, issued on Mar 24, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Houston, TX. The record was last updated on Mar 24, 2015.