Individual
ANGE L KAYUMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12360 RICHMOND AVE, HOUSTON, TX 77082-2421
(832) 329-2617
Mailing address
6065 HILLCROFT ST STE 610, HOUSTON, TX 77081-1103
(281) 846-6609
(832) 917-1631
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3746224
—
TX
Enumeration date
03/23/2017
Last updated
03/22/2021
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