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Organization

PROVIDENCE WELLNESS INC

Active
Other names
Providence Medical & Mental Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ESTHER AKUNNA EKE-HUBER (NURSE PRACTITIONER)
(281) 920-0344
Entity
Organization

Contact information

Practice address
13155 WESTHEIMER RD STE 133, HOUSTON, TX 77077-5529
(281) 920-0344
(281) 920-0263
Mailing address
13155 WESTHEIMER ROAD, SUITE #133, HOUSTON, TX 77077
(281) 920-0344
(281) 920-0263

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
801287323
TX
363LA2200X
Adult Health Nurse Practitioner
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118542
TEXAS BOARD OF NURSING
TX
05
363LA2200X
TX
05
363LP0808X
TX
01
78132
NEW MEXICO BOARD OF NURSING
NM
01
AP118542
TEXAS BOARD OF NURSING
TX
01
APRN11015237
FLORIDA BOARD OF NURSING
FL
Enumeration date
10/27/2011
Last updated
05/13/2024
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