Individual
KEPHA SIRIBA NYANGWESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 E 7TH ST STE 620, AUSTIN, TX 78701-3218
(800) 370-3651
(877) 515-7147
Mailing address
20242 TARPON BAY LN, CYPRESS, TX 77433-5177
(316) 371-1400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
905060
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141221
TX
Other
Enumeration date
06/18/2019
Last updated
04/25/2021
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