SearchTexas224Z00000X

Edem Mbukpa

NPI 1962178749 · on the registry since 2021 · sole proprietor

Practice

Address
2103 Purple Martin Dr
Brookshire, TX 77423
Phone
(347) 301-1918

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas