Individual
EBERE EJIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
2424 WILCREST DR STE 110, HOUSTON, TX 77042-2772
(713) 666-8287
(713) 666-8391
Mailing address
13100 W BELLFORT AVE APT 712, HOUSTON, TX 77099-4838
(832) 282-8332
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
312776
TX
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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