Provider Demographics
NPI:1184168130
Name:ATTOBRAH, GEORGE KOFI (PMHNP)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:KOFI
Last Name:ATTOBRAH
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18806 SABLE KEY CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1094
Mailing Address - Country:US
Mailing Address - Phone:832-640-6783
Mailing Address - Fax:
Practice Address - Street 1:18806 SABLE KEY CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1094
Practice Address - Country:US
Practice Address - Phone:832-640-6783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-10
Last Update Date:2016-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132693363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health