MEDICARE: UGOCHI ODINMAH NP

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	363L00000X	Nurse Practitioner	AP133915	TX
2	363LP2300X	Primary Care Nurse Practitioner	AP133915	TX
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP133915	TX
4	363LF0000X	Family Nurse Practitioner	AP133915	TX
5	363LA2200X	Adult Health Nurse Practitioner	AP133915	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	7X4551	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326574195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UGOCHI ODINMAH NP

Provider Business Mailing Address
First Line	:	19907 ROYCROFT LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4003
Country	:	US
Telephone Number	:	832-264-4709
Fax Number	:

Provider Business Practice Location Address
First Line	:	19907 ROYCROFT LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4003
Country	:	US
Telephone Number	:	832-264-4709
Fax Number	:

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	04/21/2026

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Directions to “ UGOCHI ODINMAH NP” Practice Location

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