Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP131781 | TX |
NPI | 1003348798 |
---|---|
Provider Name | Nkechinyelu Onyedum |
First Address | Houston, TX 77011-3614 |
Second Address | Houston, TX 77011-3614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2017 |
Last Update Date | 31/03/2017 |