Healthcare Provider Details

I. General information

NPI: 1669294211
Provider Name (Legal Business Name): IJEOMA NJOKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 S POST OAK RD
HOUSTON TX
77053-4309
US

IV. Provider business mailing address

7807 CATTLEWOOD PASS
ROSHARON TX
77583-5752
US

V. Phone/Fax

Practice location:
  • Phone: 281-835-3420
  • Fax:
Mailing address:
  • Phone: 346-247-0091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number42338
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: