Healthcare Provider Details

I. General information

NPI: 1336805332
Provider Name (Legal Business Name): ONYEBUCHI UCHE OKOH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2021
Last Update Date: 11/14/2021
Certification Date: 11/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12955 SOUTH FWY STE B20
HOUSTON TX
77047-1950
US

IV. Provider business mailing address

8722 FLOSSIE MAE ST
HOUSTON TX
77029-3327
US

V. Phone/Fax

Practice location:
  • Phone: 281-881-7541
  • Fax:
Mailing address:
  • Phone: 281-881-7541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: