Individual
KENDRA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-1000
Mailing address
15202 CHANDLER HOLLOW LN, HOUSTON, TX 77049-1741
(832) 477-0295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1174109
TX
363LA2100X
Acute Care Nurse Practitioner
1174109
TX
Other
Enumeration date
09/12/2024
Last updated
09/13/2024
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