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NPI Code Detail

MEDICARE: MARY W KABURU

MEDICARE: MARY W KABURU
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
1363LF0000XFamily Nurse Practitioner788781TX
2363LF0000XFamily Nurse PractitionerAP12747TX

General Provider Information

NPI Number : 1316327026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY W KABURU
Provider Business Mailing Address
First Line : 2323 POLK ST APT 307
Second Line :
City : HOUSTON
State : TX
Zip : 77003-4407
Country : US
Telephone Number : 832-855-2696
Fax Number : 713-583-8095
Provider Business Practice Location Address
First Line : 2323 POLK ST APT 307
Second Line :
City : HOUSTON
State : TX
Zip : 77003-4407
Country : US
Telephone Number : 832-443-7601
Fax Number : 713-583-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 03/03/2022

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Directions to “ MARY W KABURU ” Practice Location

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