MEDICARE: MR. ROLAND NNANDI ALABAROAYE CNA

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	167G00000X	Licensed Psychiatric Technician	NA08281159	TX

General Provider Information

NPI Number	:	1679718456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROLAND NNANDI ALABAROAYE CNA

Provider Business Mailing Address
First Line	:	9802 FORUM PARK DR
Second Line	:	3267
City	:	HOUSTON
State	:	TX
Zip	:	77036-8207
Country	:	US
Telephone Number	:	713-550-2847
Fax Number	:	832-305-8674

Provider Business Practice Location Address
First Line	:	9802 FORUM PARK DR
Second Line	:	3267
City	:	HOUSTON
State	:	TX
Zip	:	77036-8207
Country	:	US
Telephone Number	:	713-550-2847
Fax Number	:	832-305-8674

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

Provider Enumeration Date	:	12/09/2008
Last Update Date	:	03/08/2010

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