MEDICARE: BRENDA BIH NKEM

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
1	163W00000X	Registered Nurse	907450	TX

General Provider Information

NPI Number	:	1376021261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA BIH NKEM

Provider Business Mailing Address
First Line	:	13328 WESTHEIMER RD APT 1208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3596
Country	:	US
Telephone Number	:	832-283-2008
Fax Number	:

Provider Business Practice Location Address
First Line	:	13328 WESTHEIMER RD APT 1208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3596
Country	:	US
Telephone Number	:	832-283-2008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/01/2018

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Directions to “ BRENDA BIH NKEM ” Practice Location

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