MEDICARE: MOHAMED CONTEH

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	1014827	TX

General Provider Information

NPI Number	:	1811592991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED CONTEH

Provider Business Mailing Address
First Line	:	21503 HICKMAN MANOR LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7568
Country	:	US
Telephone Number	:	713-264-2382
Fax Number	:

Provider Business Practice Location Address
First Line	:	5807 BRAZOS LAKES DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-9236
Country	:	US
Telephone Number	:	832-633-4909
Fax Number	:

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

Provider Enumeration Date	:	12/04/2020
Last Update Date	:	08/08/2024

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Directions to “ MOHAMED CONTEH ” Practice Location

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