Basic Information
Provider Information
NPI: 1831620285
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSEPH
FirstName: MERIN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MSN,APRN,FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9022 GABLE GLEN LN
Address2:  
City: HOUSTON
State: TX
PostalCode: 770952876
CountryCode: US
TelephoneNumber: 2818616035
FaxNumber:  
Practice Location
Address1: 21212 NORTHWEST FWY
Address2: SUITE 325
City: CYPRESS
State: TX
PostalCode: 774295884
CountryCode: US
TelephoneNumber: 8326888400
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/27/2017
LastUpdateDate: 03/27/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP133625TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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