Individual provider · Type 1 NPI

Peter Formusoh

Family Nurse Practitioner · Houston, TX

NPI number 1114559325 Active

Practice location

4635 Southwest Fwy Ste 635
Houston, TX 77027-7112

Fax (713) 627-7302

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP140067 (TX)
Family Nurse Practitioner Primary 363LF0000XAP140067 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1114559325

Peter Formusoh's National Provider Identifier is 1114559325, issued on Feb 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Oct 28, 2020.