Healthcare Provider Details

I. General information

NPI: 1235091950
Provider Name (Legal Business Name): AMINA OBUEKWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6777 WOODLANDS PKWY STE 308
SPRING TX
77382-2784
US

IV. Provider business mailing address

12706 CITY GREEN TRL
HOUSTON TX
77044-1680
US

V. Phone/Fax

Practice location:
  • Phone: 281-255-2440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16650
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: