Doctor Name: | MRS. MARVA JEANNE HOUGEN |
NPI Number: | 1063510816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 236660 |
Business Practice Address: | 1502 East Airline Suite 40 Victoria, TX - 77901 |
Business Phone Number: | 3615827700 |
Business Fax Number: | 3615827701 |
Mailing Address: | 1502 East Airline, Suite 40 VICTORIA |
State: | TX |
Postal Code: | 77901 |
Phone Number: | 3615827700 |
Fax Number: | 3615827701 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 236660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |