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Provider Information for 1063170876


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NIMRAT KAUR BINDRA


Other Names:  
Other Name: 
NISHA BINDRA

Sex: Female

NPI: 1063170876
Last Updated: 2021-11-30
Certification Date: 2021-11-30

Details

NameValue
NPI1063170876
Enumeration Date2021-11-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 9422 E WOODMARK
CONROE, TX 77304-1793
United States

Phone: 936-689-7155 | Fax:
 
Primary Practice Address 9422 E WOODMARK
CONROE, TX 77304-1793
United States

Phone: 936-689-7155 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other URL
reenewu.com
9422 E Woodmark
Conroe, TX 77304-1793
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)TX15390
Yes 101YM0800X - Counselor - Mental HealthTX84384