Individual
NDIANABASI MBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3889 PARK AVE, MEMPHIS, TN 38111-6634
(901) 453-4303
(901) 221-2284
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61737
TN
207Q00000X
Family Medicine Physician
T2920
TX
Other
Enumeration date
03/31/2017
Last updated
04/04/2023
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