Organization
CITRUS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETTA UDUNENWU (DIRECTOR/PROVIDER)
(281) 624-6522
Entity
Organization
Contact information
Practice address
11703 BEECHNUT ST, HOUSTON, TX 77072-4114
(281) 624-6522
Mailing address
11703 BEECHNUT ST, HOUSTON, TX 77072-4114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/23/2020
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