Healthcare Provider Details

I. General information

NPI: 1366716862
Provider Name (Legal Business Name): ESTHER KEKII
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 10/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13700 WESTHEIMER ROAD B-3
HOUSTON TX
77077-5304
US

IV. Provider business mailing address

7600 CREEKBEND DR #1721
HOUSTON TX
77071-1853
US

V. Phone/Fax

Practice location:
  • Phone: 281-497-3224
  • Fax: 281-497-3225
Mailing address:
  • Phone: 314-276-4506
  • Fax: 281-497-3225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number807741
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: