Individual
LINDA C EZENNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 S LOOP W STE 525, HOUSTON, TX 77054-2691
(832) 378-8282
Mailing address
5123 BLUE CANOE RD, MANVEL, TX 77578-1619
(281) 995-0641
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1048873
TX
Other
Enumeration date
03/01/2022
Last updated
10/13/2022
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