Organization
PROVIDENCE WELLNESS INC
Active
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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