Healthcare Provider Details

I. General information

NPI: 1417482670
Provider Name (Legal Business Name): EUNICE KANU PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9888 BISSONNET ST STE 401-B
HOUSTON TX
77036-8247
US

IV. Provider business mailing address

9888 BISSONNET ST STE 401-B
HOUSTON TX
77036-8247
US

V. Phone/Fax

Practice location:
  • Phone: 346-545-1651
  • Fax:
Mailing address:
  • Phone: 346-545-1651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberAP133116
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP133116
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: