Provider Demographics
NPI:1659911345
Name:SIMBABURE, WORSHIP MAZUNGA
Entity Type:Individual
Prefix:
First Name:WORSHIP
Middle Name:MAZUNGA
Last Name:SIMBABURE
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 1:12130 GREENSPOINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-2002
Mailing Address - Country:US
Mailing Address - Phone:281-272-0888
Mailing Address - Fax:
Practice Address - Street 1:12130 GREENSPOINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-2002
Practice Address - Country:US
Practice Address - Phone:281-272-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily