Provider Demographics
NPI:1083223804
Name:ENYI, PATRICIA NMUKOSO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:NMUKOSO
Last Name:ENYI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 S LOOP W STE 270
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-5608
Mailing Address - Country:US
Mailing Address - Phone:713-668-4141
Mailing Address - Fax:713-668-4142
Practice Address - Street 1:2646 S LOOP W STE 270
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5608
Practice Address - Country:US
Practice Address - Phone:713-668-4141
Practice Address - Fax:713-668-4142
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine