Individual
NYAMSICK AGUM OMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10851 SCARSDALE BLVD STE 160, HOUSTON, TX 77089-5737
(281) 824-1480
(281) 220-6407
Mailing address
3707 BASALT ST, IOWA COLONY, TX 77583-1578
(310) 462-7068
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144640
TX
Other
Enumeration date
02/28/2020
Last updated
01/25/2022
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