Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | Q5795 | TX |
NPI | 1124377486 |
---|---|
Provider Name | Dr. Chidera Catherine Ejiogu |
First Address | Houston, TX 77074-1816 |
Second Address | Houston, TX 77074-1816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2012 |
Last Update Date | 06/11/2015 |