Individual
EKEOMA OBASOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
6445 MAIN ST, HOUSTON, TX 77030-1502
(713) 441-0688
Mailing address
6445 MAIN ST, HOUSTON, TX 77030-1502
(713) 441-0688
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP1021100
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1021100
TX
Other
Enumeration date
04/22/2021
Last updated
02/03/2022
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