Individual
BENES OUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11201 BOUDREAUX RD APT 935, TOMBALL, TX 77375-7566
(832) 931-0822
Mailing address
11201 BOUDREAUX RD APT 935, TOMBALL, TX 77375-7566
(832) 931-0822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
906941
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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