Individual
IGNATIUS EKENE OTTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
10039 BISSONNET ST STE 319, HOUSTON, TX 77036-7840
(877) 211-3829
(877) 899-0690
Mailing address
10039 BISSONNET ST STE 319, HOUSTON, TX 77036-7840
(877) 211-3829
(877) 899-0690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32897
PRESCRIPTIVE AUTHORIZATION
TX
Enumeration date
12/31/2019
Last updated
02/09/2022
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