Individual
EDITH NKEM DECLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9888 BISSONNET ST STE 500, HOUSTON, TX 77036-8296
(713) 909-6541
Mailing address
826 LA HACIENDA DR, RICHMOND, TX 77406-2859
(713) 909-6541
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
931021
TX
207Q00000X
Family Medicine Physician
Primary
1046603
TX
Other
Enumeration date
09/14/2018
Last updated
05/30/2024
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