Provider Demographics
NPI:1720847387
Name:ELHOR GBITO, KPLOLA (NP)
Entity type:Individual
Prefix:
First Name:KPLOLA
Middle Name:
Last Name:ELHOR GBITO
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11861 S SAM HOUSTON PKWY W STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2362
Mailing Address - Country:US
Mailing Address - Phone:281-809-5115
Mailing Address - Fax:346-237-4013
Practice Address - Street 1:11861 S SAM HOUSTON PKWY W STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2362
Practice Address - Country:US
Practice Address - Phone:281-809-5115
Practice Address - Fax:346-237-4013
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX921011163W00000X
TX1154239363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse