Kellum Robert Tice, NP

NPI #1295098085 in Cypress, Texas

Provider Information

NPI Number
1295098085
Entity Type
Individual
Name
Kellum Robert Tice, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jun 18, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
21214 NORTHWEST FWY
State
Texas
ZIP Code
77429-3373
Phone
(832) 912-3500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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