Healthcare Provider Details

I. General information

NPI: 1376101576
Provider Name (Legal Business Name): AKUDO U OBUTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 FM 1092 RD
MISSOURI CITY TX
77459-5641
US

IV. Provider business mailing address

2710 FM 1092 RD
MISSOURI CITY TX
77459-5641
US

V. Phone/Fax

Practice location:
  • Phone: 832-645-4156
  • Fax:
Mailing address:
  • Phone: 832-645-4156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP139823
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: