Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 725844 | TX |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 725844 | TX |
NPI | 1033411533 |
---|---|
Provider Name | Nkechi Elizabeth Ogoh |
First Address | Houston, TX 77094-8561 |
Second Address | Houston, TX 77054-2013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2010 |
Last Update Date | 31/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
282255301 | (05) | TX |