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Individual

CHINAGOROM NDUBUISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
Mailing address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1049290
TX
363LA2100X
Acute Care Nurse Practitioner
1049290
TX

Other

Enumeration date
08/05/2021
Last updated
05/27/2022
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