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Imelda Altji Pangemanan, GNP-BC
Gerontology Nurse Practitioner in Houston, Texas
NPI 1366722308

Imelda Altji Pangemanan is a Gerontology Nurse Practitioner based in Houston, TX and is specialized in Gerontology. Imelda Altji Pangemanan practices in Houston, TX and has the professional credentials of GNP-BC. The NPI Number for Imelda Altji Pangemanan is 1366722308 and holds a License No. 721130 (Texas).

The current practice location address for Imelda Altji Pangemanan is 1515 Holcombe Blvd, Houston, TX and can be reached out via phone at 713-792-6161.

Location: 1515 Holcombe Blvd, Houston, TX, 77210-4439
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Provider Profile Details
NPI Number
1366722308
Provider Name
Imelda Altji Pangemanan
Credential
GNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1515 Holcombe Blvd, Houston, TX, 77210-4439
Phone Number
713-792-6161
Fax Number
Provider Enumeration Date
08/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
859N14 01 TX BCBS
286527101 05 TX
286527102 05 TX
01609023 01 TX AMERIGROUP
P01025636 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1515 Holcombe Blvd
City
State
Zip
77030-4000
Phone Number
713-792-6161
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Holcombe Blvd
City
State
Zip
77030-4000
Phone Number
713-792-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
721130 (Texas)
Definition
Definition to come...
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