Individual
MR. FIDANIS NDOKAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
28455 TOMBALL PARKWAY, TOMBALL, TX 77375
(281) 290-8188
(281) 290-8288
Mailing address
7324 SW FRWY, SUITE 640, HOUSTON, TX 77074
(713) 484-5105
(713) 988-9550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06663
TX
363AM0700X
Medical Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213636801
—
TX
Enumeration date
02/02/2010
Last updated
11/10/2011
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