Individual
DERA OGUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4524 AVENIDA MONTEREY PL, RICHMOND, TX 77406-2442
(832) 258-9584
Mailing address
4524 AVENIDA MONTEREY PL, RICHMOND, TX 77406-2442
(832) 258-9584
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1193811
TX
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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