MEDICARE: LILIAN IKE FNP

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	AP135755	TX

General Provider Information

NPI Number	:	1851806574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIAN IKE FNP

Provider Business Mailing Address
First Line	:	10819 ASHLAND BRIDGE LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-5045
Country	:	US
Telephone Number	:	281-415-3127
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 GESSNER RD STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3898
Country	:	US
Telephone Number	:	713-468-6538
Fax Number	:

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

Provider Enumeration Date	:	12/04/2017
Last Update Date	:	11/20/2025

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