Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Formusoh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114559325

Peter Formusoh is a Nurse Practitioner in Houston, Texas. Qualified in 2018, 8 years ago. Practices with Holistic Health and Psychiatry, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4635 SW Fwy Ste 635
Houston, TX 77027-7112
Phone: (713) 850-0049
Fax: (713) 627-7302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP140067 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP140067 (TX)

Record details

NPI number1114559325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Holistic Health And Psychiatry — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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