Healthcare Provider Details

I. General information

NPI: 1528539608
Provider Name (Legal Business Name): CHIOMA OBUEKWE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 02/28/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 GARTH RD
BAYTOWN TX
77521-2122
US

IV. Provider business mailing address

4401 GARTH RD
BAYTOWN TX
77521-2122
US

V. Phone/Fax

Practice location:
  • Phone: 832-556-6351
  • Fax: 713-799-9598
Mailing address:
  • Phone: 832-556-6351
  • Fax: 713-799-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number812619
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP138538
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number138538
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: