Individual
EBONY LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP129517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353818302
—
TX
01
—
353818303
CSHCN MEDICAID
TX
Enumeration date
12/08/2015
Last updated
06/24/2019
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