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NPI Code Detail

MEDICARE: UCHECHUKWU IJEOMA EGWU

MEDICARE:   UCHECHUKWU IJEOMA EGWU
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
1207Q00000XFamily Medicine PhysicianU2192TX

General Provider Information

NPI Number : 1033778279
Entity Type Code : Individual
Provider Name (Legal Business Name) : UCHECHUKWU IJEOMA EGWU
Provider Business Mailing Address
First Line : PO BOX 8150
Second Line :
City : WESTCHESTER
State : IL
Zip : 60154-8150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12586 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77077-5865
Country : US
Telephone Number : 713-304-5963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 02/20/2025

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Directions to “ UCHECHUKWU IJEOMA EGWU ” Practice Location

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