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Tila Broadway, WHNP-BC
Obstetrics & Gynecology Nurse Practitioner in Kingwood, Texas
NPI 1699183954

Tila Broadway is a Obstetrics & Gynecology Nurse Practitioner based in Kingwood, TX and is specialized in Obstetrics & Gynecology. Tila Broadway practices in Kingwood, TX and has the professional credentials of WHNP-BC. The NPI Number for Tila Broadway is 1699183954 and holds a License No. AP125930 (Texas).

The current practice location address for Tila Broadway is 23802 Highway 59 N, Kingwood, TX and can be reached out via phone at 281-312-5400 and via fax at 281-312-5400.

Location: 23802 Highway 59 N, Kingwood, TX, 77339-1510
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Provider Profile Details
NPI Number
1699183954
Provider Name
Tila Broadway
Credential
WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
23802 Highway 59 N, Kingwood, TX, 77339-1510
Phone Number
281-312-5400
Fax Number
281-312-5400
Provider Enumeration Date
07/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8104NK 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
23802 Highway 59 N
City
State
Zip
77339-1510
Phone Number
281-312-5400
Fax Number
281-312-5400
person
Provider Business Mailing Address Details
Address
23802 Highway 59 N
City
State
Zip
77339-1510
Phone Number
281-312-5400
Fax Number
281-312-5400
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
AP125930 (Texas)
Definition
Definition to come...
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