MEDICARE: AKUDO CHIDIMMA LEKWAUWA APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	926934	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1113519	TX

General Provider Information

NPI Number	:	1003394107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKUDO CHIDIMMA LEKWAUWA APRN

Provider Business Mailing Address
First Line	:	22001 SOUTHWEST FWY
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7001
Country	:	US
Telephone Number	:	281-690-2812
Fax Number	:

Provider Business Practice Location Address
First Line	:	22001 SOUTHWEST FWY
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7001
Country	:	US
Telephone Number	:	281-690-2812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	04/17/2026

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