Individual
SHAMA SALMAN BANDEALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6624 FANNIN ST, HOUSTON, TX 77030-2312
(832) 736-7554
(832) 900-4927
Mailing address
198 MONARCH TRL, SUGAR LAND, TX 77498-2522
(713) 855-1682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
871632
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1035052
TX
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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