Individual
DIWENI EGBIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9898 BISSONNET ST STE 375E, HOUSTON, TX 77036-8270
(530) 732-5218
Mailing address
9898 BISSONNET ST STE 375E, HOUSTON, TX 77036-8270
(530) 732-5218
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1203365
TX
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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