Individual
MERCY OTUOMAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1009 S BROADWAY ST, LA PORTE, TX 77571-5327
(281) 471-4202
Mailing address
1009 S BROADWAY ST, LA PORTE, TX 77571-5327
(281) 471-4202
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
579705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
579705
TEXAS RN LICENSE
TX
Enumeration date
08/07/2007
Last updated
08/07/2007
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