Healthcare Provider Details

I. General information

NPI: 1700297264
Provider Name (Legal Business Name): OLUCHI UJOATU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2014
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 FM 1488 RD
THE WOODLANDS TX
77384-3951
US

IV. Provider business mailing address

3850 FM 2920 RD
SPRING TX
77388-4123
US

V. Phone/Fax

Practice location:
  • Phone: 281-298-8705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP125690
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: