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Vivian Igboalisi
Psychiatric/Mental Health Nurse Practitioner in Katy, Texas
NPI 1023724994

Vivian Igboalisi is a Psychiatric/Mental Health Nurse Practitioner based in Katy, TX and is specialized in Psychiatric/Mental Health. Vivian Igboalisi practices in Katy, TX. The NPI Number for Vivian Igboalisi is 1023724994 and holds a License No. 1070398 (Texas).

The current practice location address for Vivian Igboalisi is 26726 Sooty Tern Dr, Katy, TX and can be reached out via phone at 832-457-0293.

Location: 26726 Sooty Tern Dr, Katy, TX, 77494-6883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023724994
Provider Name
Vivian Igboalisi
Credential
Provider Entity Type
Individual
Gender
Female
Address
26726 Sooty Tern Dr, Katy, TX, 77494-6883
Phone Number
832-457-0293
Fax Number
Provider Enumeration Date
01/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26726 Sooty Tern Dr
City
Katy
State
Texas
Zip
77494-6883
Phone Number
832-457-0293
Fax Number
person
Provider Business Mailing Address Details
Address
26726 Sooty Tern Dr
City
Katy
State
Texas
Zip
77494-6883
Phone Number
832-457-0293
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1070398 (Texas)
Definition
Definition to come...
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