Provider Demographics
NPI:1619479623
Name:OBUYA, BETTY (PMHNP)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:OBUYA
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25031 WESTHEIMER PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7317
Mailing Address - Country:US
Mailing Address - Phone:832-562-0553
Mailing Address - Fax:
Practice Address - Street 1:25031 WESTHEIMER PKWY STE 500
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7317
Practice Address - Country:US
Practice Address - Phone:832-562-0553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2025-03-04
Deactivation Date:2020-06-22
Deactivation Code:
Reactivation Date:2025-03-03
Provider Licenses
StateLicense IDTaxonomies
TX1000230363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health