NPI

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NPI 1356734586

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PMHNP
Type
Individual
Enumeration date
2015-03-12
Last updated
2026-06-17

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Specialties

Licenses

License MI
4704303679
License TX
927672
License TX
1052572

Location

Practice location
3733 Westheimer Rd Ste 1
City
Houston TX
Postal code
77027-5226
Phone
(832) 345-6456

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Houston, TX. 88,020 records in the public file.

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