MEDICARE: NJIOLE OGONDA NWOGU PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1117500	TX

General Provider Information

NPI Number	:	1851235998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NJIOLE OGONDA NWOGU PMHNP

Provider Business Mailing Address
First Line	:	24302 DIXON SHOALS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3748
Country	:	US
Telephone Number	:	832-293-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	24302 DIXON SHOALS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3748
Country	:	US
Telephone Number	:	832-293-0050
Fax Number	:

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

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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