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CHANDRA BRADEN HUMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
754061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
323937801
TX
01
8815NC
BCBS
TX
Enumeration date
09/26/2012
Last updated
01/17/2014
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