Provider Demographics
NPI:1508697624
Name:TEJEDA BUENO, LIZBETH (FNP)
Entity type:Individual
Prefix:
First Name:LIZBETH
Middle Name:
Last Name:TEJEDA BUENO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15326 FLEMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2068
Mailing Address - Country:US
Mailing Address - Phone:713-732-8680
Mailing Address - Fax:
Practice Address - Street 1:14629 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-7500
Practice Address - Country:US
Practice Address - Phone:281-589-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170053207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine