Healthcare Provider Details

I. General information

NPI: 1124584446
Provider Name (Legal Business Name): TEHEMEENA DHUKKA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8582 KATY FWY STE 110
HOUSTON TX
77024-1807
US

IV. Provider business mailing address

17719 BROWNING TRACE LN
RICHMOND TX
77407-2749
US

V. Phone/Fax

Practice location:
  • Phone: 713-280-7991
  • Fax:
Mailing address:
  • Phone: 512-608-7589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP139844
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: