Individual
MR. LEDIAN MEMUSHAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
6400 FANNIN ST, HOUSTON, TX 77030-1521
(713) 704-3691
Mailing address
6400 FANNIN ST STE 2900, HOUSTON, TX 77030-1555
(806) 441-4638
Taxonomy
Speciality
Code
Description
License number
State
347D00000X
Train
1049201
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1049201
TX
Other
Enumeration date
08/04/2021
Last updated
07/27/2024
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