MEDICARE: MUNACHI ONYEDEBELU

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	251E00000X	Home Health Agency	008619	TX
2	251E00000X	Home Health Agency		TX
3	332B00000X	Durable Medical Equipment & Medical Supplies		TX

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
2	008629	OTHER	TX	TEXAS DEPARTMENT OF AGING
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346249802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUNACHI ONYEDEBELU

Provider Business Mailing Address
First Line	:	2440 TEXAS PKWY, 340
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4023
Country	:	US
Telephone Number	:	281-261-8111
Fax Number	:	281-261-8109

Provider Business Practice Location Address
First Line	:	2440 TEXAS PKWY
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-4023
Country	:	US
Telephone Number	:	281-261-8111
Fax Number	:	281-261-8109

Authorized Official
Title or Position	:	DON ADMIN
Name	:	MISS MUNACHI N ONYEDEBELU
Credential	:	RN, BSN
Telephone Number	:	281-261-8111

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/05/2008

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Directions to “MUNACHI ONYEDEBELU ” Practice Location

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