Organization
PHOENIX MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANU OGUNYOKU (NURSE PRACTITIONER)
(713) 581-7961
Entity
Organization
Contact information
Practice address
25807 WESTHEIMER PKWY STE 422, KATY, TX 77494-5369
(713) 581-7961
Mailing address
25807 WESTHEIMER PKWY STE 422, KATY, TX 77494-5369
(713) 581-7961
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
10/08/2024
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