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NPI Code Detail

MEDICARE: MISS CHIKAODILI JUMBO NP

MEDICARE: MISS CHIKAODILI JUMBO NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1045490TX

General Provider Information

NPI Number : 1215226246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHIKAODILI JUMBO NP
Provider Business Mailing Address
First Line : 18333 EGRET BAY BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3239
Country : US
Telephone Number : 281-332-3001
Fax Number : 281-332-3005
Provider Business Practice Location Address
First Line : 18333 EGRET BAY BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3239
Country : US
Telephone Number : 281-332-3001
Fax Number : 281-332-3005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 07/26/2024

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Directions to “ MISS CHIKAODILI JUMBO NP” Practice Location

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