Individual
ETENESH MOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030-4202
(713) 798-2400
Mailing address
18980 W MEMORIAL DR, STE 100, HUMBLE, TX 77338-4394
(972) 693-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP138863
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP138863
TX
363LF0000X
Family Nurse Practitioner
AP138863
TX
Other
Enumeration date
06/03/2019
Last updated
05/08/2025
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