Healthcare Provider Details

I. General information

NPI: 1386339737
Provider Name (Legal Business Name): AMARACHI OGADINMA NJOKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N AMBURN RD STE 9
TEXAS CITY TX
77591-2466
US

IV. Provider business mailing address

4327 MILLERS CREEK LN
MANVEL TX
77578-2139
US

V. Phone/Fax

Practice location:
  • Phone: 281-218-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP140941
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number848837
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP140941
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: