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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730201187 NPPES
Texas MEDICAID 008598

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