Individual provider · NPI-1

Jose Badillo

Nurse Practitioner, Family · Kingwood, TX

NPI number1265055396
StatusActive
Last updated in NPPESMay 23, 2020

Details

NPI
1265055396
Entity type
Individual (NPI-1)
Name
Jose Badillo
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2020
Certification date
May 23, 2020
Last updated
May 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP142936TXYes

Practice location

2527 Chestnut Ridge Dr
Kingwood, TX 77339-3031

Phone 281-358-4747

Mailing address

2040 Greenhouse Rd Apt 2118
Houston, TX 77084-7815

Phone 832-687-0475

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