Provider Demographics
NPI:1962893859
Name:DONTOH, JULIET (FNP)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:DONTOH
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 1:15255 GRAY RIDGE DR APT 1332X
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3036
Mailing Address - Country:US
Mailing Address - Phone:713-302-5517
Mailing Address - Fax:
Practice Address - Street 1:15255 GRAY RIDGE DR APT 1332X
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3036
Practice Address - Country:US
Practice Address - Phone:713-302-5517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily