MEDICARE: PRINCESS UZOH PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1075008	TX

General Provider Information

NPI Number	:	1093457798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRINCESS UZOH PMHNP-BC

Provider Business Mailing Address
First Line	:	440 LOUISIANA ST STE 952
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1639
Country	:	US
Telephone Number	:	512-634-9131
Fax Number	:	512-524-3918

Provider Business Practice Location Address
First Line	:	440 LOUISIANA ST STE 952
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1639
Country	:	US
Telephone Number	:	512-634-9131
Fax Number	:	512-524-3918

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

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	03/09/2026

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