Individual
MR. JIDEOFOR CHEKWUBECHUKWU AZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(713) 894-4001
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(713) 894-4001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145160
TX
Other
Enumeration date
02/17/2020
Last updated
12/23/2024
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