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NPI Code Detail

MEDICARE: KIMBERLY TEZENO NP

MEDICARE:   KIMBERLY  TEZENO  NP
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
1363LP2300XPrimary Care Nurse Practitioner1196774TX

General Provider Information

NPI Number : 1407645401
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY TEZENO NP
Provider Business Mailing Address
First Line : 5527 GATESPRINGS LN
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-8865
Country : US
Telephone Number : 225-220-6335
Fax Number :
Provider Business Practice Location Address
First Line : 2646 S LOOP W STE 330
Second Line :
City : HOUSTON
State : TX
Zip : 77054-2773
Country : US
Telephone Number : 281-888-4407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/15/2025

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Directions to “ KIMBERLY TEZENO NP” Practice Location

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