Provider Demographics
NPI:1427532589
Name:NARVIOS, NIMMY (PMHNP)
Entity type:Individual
Prefix:
First Name:NIMMY
Middle Name:
Last Name:NARVIOS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:NIMMY
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 E MEDICAL CENTER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4373
Mailing Address - Country:US
Mailing Address - Phone:281-481-4646
Mailing Address - Fax:281-481-4649
Practice Address - Street 1:2801 GESSNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-2503
Practice Address - Country:US
Practice Address - Phone:832-834-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1383422084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1427532589Medicaid
NONEOtherNONE