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Individual

JOSEPHA IMMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
5602 LYONS AVE, HOUSTON, TX 77020
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
01094972A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
R0252
TX

Other

Enumeration date
04/11/2011
Last updated
12/13/2024
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