Individual
CALLISTA NWAGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10826 SWAN GLEN DR, HOUSTON, TX 77099-3203
(346) 754-4677
Mailing address
10826 SWAN GLEN DR, HOUSTON, TX 77099-3203
(346) 754-4677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
954199
TX
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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