Mwaibviseni Mutezo, AA
Anesthesiologist Assistant in Houston, TX. Individual provider (NPI-1).
NPI number1649802414
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1649802414
- Entity type
- Individual (NPI-1)
- Name
- Mwaibviseni Mutezo
- Credential
- AA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 32697627 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1515 Holcombe BlvdHouston, TX 77030-4000
Phone 713-792-6161
Mailing address
Po Box 4439Houston, TX 77210-4439
Phone 713-792-2991
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