WORSHAM, PLLC
Physician Assistant at Legacy Way, Lavernia, TX

License number
Texas 640929
Category
Physician Assistant
Type
Adult Health
License number
Texas CNS 9301281
Category
Physician Assistant
Type
Adult Health
License number
Texas RN1009630
Category
Physician Assistant
Type
Adult Health
Owner
Name: VANESSA WORSHAM MSN, APRN, ACNS-BC
Title: OWNER
Phone: (443) 306-8177
Address
Address
129 Legacy Way, Lavernia, TX 78121
National Provider ID: 1174834741
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WORSHAM, PLLC at bizstanding.com

WORSHAM, PLLC

129 Legacy Way, La Vernia, TX 78121

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Apr 12, 2010
State ID:
0801255153
Business type:
Domestic Limited Liability Company (LLC)
Managing M, Managing Member:
Vanessa Worsham (Managing M, Managing Member), 6819 Laughlin Dr, Missouri City, TX 77489
Agent:
Paster Drones,15810 Lenclaire, Houston, TX 77053 (Physical)
TIN:
32041636989

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