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NPI Code Detail

MEDICARE: ALERO OBIANYOR WATERHOUSE GNP-BC

MEDICARE:   ALERO OBIANYOR WATERHOUSE  GNP-BC
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
1163W00000XRegistered Nurse716564TX
2363LG0600XGerontology Nurse Practitioner716564TX

General Provider Information

NPI Number : 1902134489
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALERO OBIANYOR WATERHOUSE GNP-BC
Provider Business Mailing Address
First Line : 3733 WESTHEIMER RD STE 1-559
Second Line :
City : HOUSTON
State : TX
Zip : 77027-5271
Country : US
Telephone Number : 713-955-7374
Fax Number : 702-537-0985
Provider Business Practice Location Address
First Line : 3733 WESTHEIMER RD STE 1-559
Second Line :
City : HOUSTON
State : TX
Zip : 77027
Country : US
Telephone Number : 713-955-7374
Fax Number : 702-537-0985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2009
Last Update Date : 03/21/2019

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Directions to “ ALERO OBIANYOR WATERHOUSE GNP-BC” Practice Location

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