Organization
BLOOMING ARC PSYCHIATRIC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIWENI EGBIDE (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
777 S MAYDE CREEK DR APT 311, HOUSTON, TX 77079-6150
(000) 000-0000
Mailing address
777 S MAYDE CREEK DR APT 311, HOUSTON, TX 77079-6150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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