MEDICARE: RHONDA LONDON 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP127835	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	563692	TX

General Provider Information

NPI Number	:	1578943296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA LONDON NP

Provider Business Mailing Address
First Line	:	2424 W HOLCOMBE BLVD STE 204
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1935
Country	:	US
Telephone Number	:	713-521-5930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 W HOLCOMBE BLVD STE 204
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1935
Country	:	US
Telephone Number	:	713-521-5930
Fax Number	:

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

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	04/17/2019

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Directions to “ RHONDA LONDON NP” Practice Location

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