Provider Demographics
NPI:1174845796
Name:IBEZIM, FRANCISCA CHINYERE
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:CHINYERE
Last Name:IBEZIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15011 KINGSBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7340
Mailing Address - Country:US
Mailing Address - Phone:832-215-5085
Mailing Address - Fax:
Practice Address - Street 1:15011 KINGSBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7340
Practice Address - Country:US
Practice Address - Phone:832-215-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities