Most Relevant Information
Provider Data
| NPI Number: | 1003305558 |
| Provider Name: | MUKUKA MUKUPO MUMBI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | AP135824 |
Most Important Dates
| Enumeration Date: | 05/09/2018 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
921 GESSNER RD
HOUSTON
TX
770242501
Practice Location Phone/Fax
| Phone: | 7372055084 |
| Fax: |
Provider Mailing Location
17307 SANDALISLE LN
RICHMOND
TX
774072634
Provider Mailing Phone/Fax
| Phone: | 8326285274 |
| Fax: |