MEDICARE: MRS. ANTHONIA UCHE NWADINOBI

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	32090000X	TX

General Provider Information

NPI Number	:	1740426394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANTHONIA UCHE NWADINOBI

Provider Business Mailing Address
First Line	:	6315 LITTLE MURRAY LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4879
Country	:	US
Telephone Number	:	281-250-0332
Fax Number	:

Provider Business Practice Location Address
First Line	:	8303 SOUTHWEST FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1650
Country	:	US
Telephone Number	:	281-250-0332
Fax Number	:	713-497-5375

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

Provider Enumeration Date	:	01/04/2009
Last Update Date	:	02/03/2026

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