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NPI Code Detail

MEDICARE: MR. LEO IWUJI

MEDICARE:  MR. LEO  IWUJI
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
1103TM1800XIntellectual & Developmental Disabilities Psychologist

General Provider Information

NPI Number : 1164961710
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEO IWUJI
Provider Business Mailing Address
First Line : 2634 HYLAND PARK
Second Line :
City : HOUSTON
State : TX
Zip : 77014-2872
Country : US
Telephone Number : 832-725-0706
Fax Number : 832-725-0706
Provider Business Practice Location Address
First Line : 2634 HYLAND PARK
Second Line :
City : HOUSTON
State : TX
Zip : 77014-2872
Country : US
Telephone Number : 832-725-0706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2017
Last Update Date : 02/15/2017

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Directions to “ MR. LEO IWUJI ” Practice Location

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