Provider Demographics
NPI:1467928366
Name:TETUH, CAREEN ENDAM
Entity Type:Individual
Prefix:
First Name:CAREEN
Middle Name:ENDAM
Last Name:TETUH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAREEN
Other - Middle Name:
Other - Last Name:TETUH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:6430 COURT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-4462
Mailing Address - Country:US
Mailing Address - Phone:832-539-1416
Mailing Address - Fax:
Practice Address - Street 1:12505 MEMORIAL DR STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-6051
Practice Address - Country:US
Practice Address - Phone:844-824-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145233363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health