MEDICARE: AUGUSTA U UMEZURIKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1157480	TX

General Provider Information

NPI Number	:	1003636168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUGUSTA U UMEZURIKE

Provider Business Mailing Address
First Line	:	9630 THOMAS KNOB TRL
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2983
Country	:	US
Telephone Number	:	832-839-0992
Fax Number	:

Provider Business Practice Location Address
First Line	:	7035 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3305
Country	:	US
Telephone Number	:	832-839-0992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	10/14/2024

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Directions to “ AUGUSTA U UMEZURIKE ” Practice Location

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