Individual
PRECIOUS IYAYI POGOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77030-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
740395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315612701
—
TX
Enumeration date
05/15/2009
Last updated
07/01/2013
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