Most Relevant Information
Provider Data
| NPI Number: | 1003503244 |
| Provider Name: | IYABO P EHIEMUA-WIGGINS |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 828192 |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
8307 IVY POINT DR
HOUSTON
TX
770836553
Practice Location Phone/Fax
| Phone: | 8323982970 |
| Fax: |
Provider Mailing Location
8307 IVY POINT DR
HOUSTON
TX
770836553
Provider Mailing Phone/Fax
| Phone: | 8323982970 |
| Fax: |