MEDICARE: MRS. MAUREEN CHINYERE ONYEJIAKA

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1407338866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAUREEN CHINYERE ONYEJIAKA

Provider Business Mailing Address
First Line	:	9950 WESTPARK DR 306
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063
Country	:	US
Telephone Number	:	713-266-0250
Fax Number	:

Provider Business Practice Location Address
First Line	:	7306 LOGCRADLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045
Country	:	US
Telephone Number	:	832-258-3206
Fax Number	:

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

Provider Enumeration Date	:	09/02/2018
Last Update Date	:	09/02/2018

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