Provider Demographics
NPI:1629567714
Name:OBANDO, HODA
Entity Type:Individual
Prefix:
First Name:HODA
Middle Name:
Last Name:OBANDO
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 1:11103 SHELDON BEND DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7291
Mailing Address - Country:US
Mailing Address - Phone:979-739-5197
Mailing Address - Fax:
Practice Address - Street 1:9740 BARKER CYPRESS RD STE 108
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1974
Practice Address - Country:US
Practice Address - Phone:281-990-6890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily