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Individual

BERI DIANE FONYUY BAMNJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1504 TAUB LOOP, DEPT OF ANESTHESIA, 4TH FL., HOUSTON, TX 77030-1608
(713) 873-2860
Mailing address
4831 ASHLEY HOPE DR, KATY, TX 77494-1945

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
788476
TX
163WS0200X
School Registered Nurse
788476
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1127553
TX

Other

Enumeration date
01/12/2023
Last updated
03/23/2026
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