Most Relevant Information
Provider Data
| NPI Number: | 1003384439 |
| Provider Name: | ERICK K KEBENEI NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP139632 |
Most Important Dates
| Enumeration Date: | 11/03/2018 |
| Last Updated: | 08/11/2020 |
Provider Practice Location
650 N SAM HOUSTON PKWY E STE 307
HOUSTON
TX
770605906
Practice Location Phone/Fax
| Phone: | 2816166769 |
| Fax: | 8322010407 |
Provider Mailing Location
19731 SHALLOW SHAFT LN
RICHMOND
TX
774074101
Provider Mailing Phone/Fax
| Phone: | 9135260564 |
| Fax: |