Provider Demographics
NPI:1073154779
Name:BARBOZA, WILMA JULIANA (MSN,APRN,AGACNP)
Entity Type:Individual
Prefix:MRS
First Name:WILMA
Middle Name:JULIANA
Last Name:BARBOZA
Suffix:
Gender:F
Credentials:MSN,APRN,AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLZ # BCM390
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-798-7367
Mailing Address - Fax:
Practice Address - Street 1:17350 ST LUKES WAY STE 330
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4103
Practice Address - Country:US
Practice Address - Phone:713-798-7717
Practice Address - Fax:713-798-8516
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720452363LA2100X
TXAP143322363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care