Individual
SOUMAILA CAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2011 N COLLINS BLVD STE 607, RICHARDSON, TX 75080-2636
(833) 258-7900
Mailing address
4146 S WEBBER DR, PEARLAND, TX 77584-9415
(832) 288-1630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643013
NY
363L00000X
Nurse Practitioner
Primary
1017352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
643013
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
06/16/2011
Last updated
10/15/2022
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