Individual
MISIDA GWANYEBIT-FODJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18220 TEXAS 249 ACCESS ROAD, 230, HOUSTON, TX 77070
(281) 252-8600
Mailing address
15006 WILDBERRY CREEK CT, CYPRESS, TX 77433-2241
(949) 294-3093
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133843
TX
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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