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NPI Code Detail

MEDICARE: THEORINE GRACE NYANGONO

MEDICARE: THEORINE GRACE NYANGONO
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 Nurse789952TX

General Provider Information

NPI Number : 1164901955
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEORINE GRACE NYANGONO
Provider Business Mailing Address
First Line : 19400 W BELLFORT ST APT 3302
Second Line :
City : RICHMOND
State : TX
Zip : 77407-8211
Country : US
Telephone Number : 832-997-3041
Fax Number :
Provider Business Practice Location Address
First Line : 110 CYPRESS STATION DR STE 270
Second Line :
City : HOUSTON
State : TX
Zip : 77090-1639
Country : US
Telephone Number : 832-253-1188
Fax Number : 832-253-1181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 08/13/2018

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Directions to “ THEORINE GRACE NYANGONO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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