Individual
KINGSLEY OSARO AGBONTAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 BAKER ST, HOUSTON, TX 77002-1206
(832) 818-3258
Mailing address
1200 BAKER ST, HOUSTON, TX 77002-1206
(832) 818-3258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1201816
TX
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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