Healthcare Provider Details

I. General information

NPI: 1639497449
Provider Name (Legal Business Name): MRS. FELICIA UJU UGHANZE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4703 KNOTTY OAKS TRL
HOUSTON TX
77045-4152
US

IV. Provider business mailing address

4703 KNOTTY OAKS TRL
HOUSTON TX
77045-4152
US

V. Phone/Fax

Practice location:
  • Phone: 713-624-0873
  • Fax: 713-772-9119
Mailing address:
  • Phone: 713-624-0873
  • Fax: 713-772-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: