Individual provider · Type 1 NPI
Michael Lawrence Mistric, NURSE PRACTITIONER
Family Nurse Practitioner · Houston, TX
NPI number
1811901804
Active
Practice location
2002 Holcombe Blvd
Houston, TX 77030
Fax (713) 794-7374
Mailing address
3614 Montrose Blvd Unit 800
Houston, TX 77006-4652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 545829 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1811901804
Michael Lawrence Mistric, NURSE PRACTITIONER's National Provider Identifier is 1811901804, issued on Jul 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.