Individual
KIM IKE EZEKWESILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-1000
Mailing address
24818 PLEASANT SHORES CT, RICHMOND, TX 77406-1682
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
856879
TX
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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