Individual
SHONY PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(832) 876-2549
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP135716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386765701
—
TX
01
—
386765702
MEDICAID CSHCN
TX
Enumeration date
12/29/2017
Last updated
11/07/2018
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