Ndokama, Fidanis
Ndokama, Fidanis is an individual health care provider with primary practice located at 28455 Tomball Parkway , Tomball TX 77375. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ndokama, Fidanis can be contacted via phone (281) 290-8188.Contact Information
Primary practice address
28455 Tomball Parkway
Tomball TX 77375
Phone: (281) 290-8188
Fax: (281) 290-8288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Texas | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA06663 | Texas |
Profile Details
| NPI number | 1295067106 |
|---|---|
| LBN Legal business name | Ndokama, Fidanis |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2010 |
| Last updated | Nov 10th, 2011 - about 15 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 | 1295067106 | NPPES |
| Texas | MEDICAID | 213636801 |
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