NPI Code Details Logo

NPI 1063148195

NPI 1063148195 : CHINWE LINDA OSUAGWU PMHNP-BC : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063148195
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHINWE LINDA OSUAGWU PMHNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/29/2022
-----------------------------------------------------
    Last Update Date     |    07/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    17750 CALI DR 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77090-2705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-736-1121
-----------------------------------------------------
    Fax                  |    281-571-3517
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    469 CENTERVILLE RD STE 105 
-----------------------------------------------------
    City                 |    WARWICK
-----------------------------------------------------
    State                |    RI
-----------------------------------------------------
    Zip                  |    02886-4356
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    401-773-3700
-----------------------------------------------------
    Fax                  |    401-773-3701
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    1094316
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    947531
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.