MEDICARE: LINDA CHIOMA EKWEALOR MD

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	208M00000X	Hospitalist Physician	T9674	TX
2	207Q00000X	Family Medicine Physician	T9674	TX
3	207Q00000X	Family Medicine Physician	339813	LA

General Provider Information

NPI Number	:	1205399631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA CHIOMA EKWEALOR MD

Provider Business Mailing Address
First Line	:	8471 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-5001
Country	:	US
Telephone Number	:	832-709-2770
Fax Number	:	832-924-0113

Provider Business Practice Location Address
First Line	:	8471 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-5001
Country	:	US
Telephone Number	:	832-709-2770
Fax Number	:	832-924-0113

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

Provider Enumeration Date	:	04/11/2019
Last Update Date	:	02/06/2026

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