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NPI Code Detail

MEDICARE: UKACHI ONWERE FADAKA APN

MEDICARE:   UKACHI ONWERE FADAKA  APN
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
1363L00000XNurse Practitioner570882TX

General Provider Information

NPI Number : 1194974006
Entity Type Code : Individual
Provider Name (Legal Business Name) : UKACHI ONWERE FADAKA APN
Provider Business Mailing Address
First Line : 15523 CABILDO DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-2452
Country : US
Telephone Number : 832-466-1631
Fax Number :
Provider Business Practice Location Address
First Line : 15523 CABILDO DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-2452
Country : US
Telephone Number : 281-988-8118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2008
Last Update Date : 08/24/2009

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Directions to “ UKACHI ONWERE FADAKA APN” Practice Location

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