Provider Demographics
NPI:1619752383
Name:MORDI, DUMEBI (PHARMD, MPH, MBA)
Entity Type:Individual
Prefix:
First Name:DUMEBI
Middle Name:
Last Name:MORDI
Suffix:
Gender:F
Credentials:PHARMD, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11415 NOBLEWOOD CREST LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6846
Mailing Address - Country:US
Mailing Address - Phone:346-501-6078
Mailing Address - Fax:
Practice Address - Street 1:3745 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5227
Practice Address - Country:US
Practice Address - Phone:713-629-0703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist