Individual
PAT IKEDIOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12807 WESTHEIMER RD, HOUSTON, TX 77077-5724
(281) 679-1310
Mailing address
12807 WESTHEIMER RD, HOUSTON, TX 77077-5724
(281) 679-1310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
582975
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP112118
TX
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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