Healthcare Provider Details

I. General information

NPI: 1841100922
Provider Name (Legal Business Name): VESTER N AGBLEY GIDEON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 HILBIG RD
CONROE TX
77301-1448
US

IV. Provider business mailing address

3348 BENTWOOD RANCH DR
CONROE TX
77385-0011
US

V. Phone/Fax

Practice location:
  • Phone: 936-520-5912
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1240030
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: