Organization
RECONNECTING HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDAH EZEOKA (PMHNP-BC)
(832) 607-4083
Entity
Organization
Contact information
Practice address
19714 SAUMS RD, HOUSTON, TX 77084-4734
(832) 607-4083
Mailing address
16519 WAX MALLOW DR, HOUSTON, TX 77095-1437
(832) 607-4083
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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