Healthcare Provider Details

I. General information

NPI: 1386452241
Provider Name (Legal Business Name): EBELE OKONKWO ONUIGBO DOCTOR (DHA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EBELE OKONKWO ONUIGBO DOCTOR (DHA)

II. Dates (important events)

Enumeration Date: 12/24/2024
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 PEDERNALES RIVER LN
SPRING TX
77386-7081
US

IV. Provider business mailing address

4112 PEDERNALES RIVER LN
SPRING TX
77386-7081
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-9232
  • Fax:
Mailing address:
  • Phone: 240-481-9232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: