MEDICARE: DEBORAH OCHIENG

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
1	363LF0000X	Family Nurse Practitioner	F08210507	TX

General Provider Information

NPI Number	:	1275270167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH OCHIENG

Provider Business Mailing Address
First Line	:	11160 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5506
Country	:	US
Telephone Number	:	832-530-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	11160 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5506
Country	:	US
Telephone Number	:	832-530-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	05/12/2022

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Directions to “ DEBORAH OCHIENG ” Practice Location

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