Individual
ENE ISIDAHOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8727 W RAYFORD RD STE 160, SPRING, TX 77389-5440
(281) 547-8880
Mailing address
15210 SUMMER BOUNTY TRL, CYPRESS, TX 77429-6603
(832) 857-3040
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1087902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
—
Enumeration date
09/06/2022
Last updated
09/06/2022
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