Individual
MRS. VIDAH IFEOMA EZEOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 S GESSNER RD STE 270, HOUSTON, TX 77063-3200
(832) 607-4083
Mailing address
2600 S GESSNER RD STE 270, HOUSTON, TX 77063-3200
(832) 607-4083
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1019882
TX
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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