Individual
JANIQUE IONA FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2450 HOLCOMBE BLVD STE NB-34L, HOUSTON, TX 77021-2039
(832) 824-1000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
AP138928
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP138928
TX
Other
Enumeration date
09/26/2018
Last updated
12/06/2018
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