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NPI Code Detail

MEDICARE: CHINELO MMUKOSOLU UCHENDU

MEDICARE:   CHINELO MMUKOSOLU UCHENDU
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
1363A00000XPhysician AssistantPA18248TX

General Provider Information

NPI Number : 1083456792
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINELO MMUKOSOLU UCHENDU
Provider Business Mailing Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6621 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2399
Country : US
Telephone Number : 832-824-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 01/12/2026

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Directions to “ CHINELO MMUKOSOLU UCHENDU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.