MEDICARE: SYLVIA MADUAGWU

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	363L00000X	Nurse Practitioner	1230307	TX
2	163W00000X	Registered Nurse	974344	TX

General Provider Information

NPI Number	:	1881249258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA MADUAGWU

Provider Business Mailing Address
First Line	:	13715 ANDOVER PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2757
Country	:	US
Telephone Number	:	713-859-4956
Fax Number	:

Provider Business Practice Location Address
First Line	:	13715 ANDOVER PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2757
Country	:	US
Telephone Number	:	713-859-4956
Fax Number	:

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

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	04/14/2026

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Directions to “ SYLVIA MADUAGWU ” Practice Location

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