Etoama, Bernadette
Etoama, Bernadette is an sole proprietor health care provider with primary practice located at 5500 Guhn Rd Ste 100 , Houston TX 77040-6162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Etoama, Bernadette can be contacted via phone (713) 783-8889.Contact Information
Primary practice address
5500 Guhn Rd Ste 100
Houston TX 77040-6162
Phone: (713) 783-8889
Fax: (713) 953-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 1034068 | Texas |
Profile Details
| NPI number | 1730201187 |
|---|---|
| LBN Legal business name | Etoama, Bernadette |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2007 |
| Last updated | Jul 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730201187 | NPPES |
| Texas | MEDICAID | 008598 |
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