person
Ibiene Samuel
Family Nurse Practitioner in Richmond, Texas
NPI 1396303541

Ibiene Samuel is a Family Nurse Practitioner based in Richmond, TX and is specialized in Family. Ibiene Samuel practices in Richmond, TX. The NPI Number for Ibiene Samuel is 1396303541 and holds a License No. F07171499 (Texas).

The current practice location address for Ibiene Samuel is 1601 Main St Ste 401, Richmond, TX and can be reached out via phone at 281-342-9564 and via fax at 281-342-9564.

Location: 1601 Main St Ste 401, Richmond, TX, 77469-3244
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Provider Profile Details
NPI Number
1396303541
Provider Name
Ibiene Samuel
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 Main St Ste 401, Richmond, TX, 77469-3244
Phone Number
281-342-9564
Fax Number
281-342-9564
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP134831 01 TX TEXAS BON
F07171499 01 TX AANP
institution
Provider Business Practice Location Address Details
Address
1601 Main St Ste 401
City
State
Zip
77469-3244
Phone Number
281-342-9564
Fax Number
281-342-9564
person
Provider Business Mailing Address Details
Address
1601 Main St Ste 401
City
State
Zip
77469-3244
Phone Number
281-342-9564
Fax Number
281-342-9564
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F07171499 (Texas)
Definition
Definition to come...
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