Healthcare Provider Details

I. General information

NPI: 1003456542
Provider Name (Legal Business Name): CATHERINE OGBONNA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND TX
77478-3688
US

IV. Provider business mailing address

7602 CRESCENT LAKE CT
ROSENBERG TX
77469-4676
US

V. Phone/Fax

Practice location:
  • Phone: 346-593-9538
  • Fax:
Mailing address:
  • Phone: 832-298-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP144529
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: