Provider Demographics
NPI:1932740974
Name:BISUALI, AUBRIEL (NP)
Entity Type:Individual
Prefix:
First Name:AUBRIEL
Middle Name:
Last Name:BISUALI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15015 KIRBY DR STE 200A
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2580
Mailing Address - Country:US
Mailing Address - Phone:713-343-6360
Mailing Address - Fax:
Practice Address - Street 1:15015 KIRBY DR STE 200A
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77047-2580
Practice Address - Country:US
Practice Address - Phone:713-343-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX879912163W00000X
TXAP145183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse