Individual
JONATHAN AKPOBASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15122 BARBADO RIDGE TRL, CYPRESS, TX 77433-7320
(973) 489-4318
Mailing address
15122 BARBADO RIDGE TRL, CYPRESS, TX 77433-7320
(973) 489-4318
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1069506
TX
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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