MEDICARE: MRS. ESTHER K. 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	AP132266	TX

General Provider Information

NPI Number	:	1891247920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTHER K. CONTEH

Provider Business Mailing Address
First Line	:	9418 PERIDOT GREEN DR
Second Line	:
City	:	ROSHARON
State	:	TX
Zip	:	77583-6924
Country	:	US
Telephone Number	:	281-778-3220
Fax Number	:

Provider Business Practice Location Address
First Line	:	9418 PERIDOT GREEN DR
Second Line	:
City	:	ROSHARON
State	:	TX
Zip	:	77583-6924
Country	:	US
Telephone Number	:	281-778-3220
Fax Number	:

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

Provider Enumeration Date	:	10/24/2016
Last Update Date	:	10/24/2016

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