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NPI Code Detail

MEDICARE: AGNES BISONG-MAY

MEDICARE: AGNES BISONG-MAY
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 Practitioner1196014TX

General Provider Information

NPI Number : 1447128905
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGNES BISONG-MAY
Provider Business Mailing Address
First Line : 1600 ELDRIDGE PKWY APT 1001
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1660
Country : US
Telephone Number : 713-301-4692
Fax Number :
Provider Business Practice Location Address
First Line : 1600 ELDRIDGE PKWY APT 1001
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1660
Country : US
Telephone Number : 713-301-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2025
Last Update Date : 10/27/2025

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