MEDICARE: UGOCHUKWU NWOBI

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	3416L0300X	Land Ambulance	1000687	TX

General Provider Information

NPI Number	:	1467737577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UGOCHUKWU NWOBI

Provider Business Mailing Address
First Line	:	6420 RICHMOND AVE
Second Line	:	333
City	:	HOUSTON
State	:	TX
Zip	:	77057-5929
Country	:	US
Telephone Number	:	713-838-6352
Fax Number	:	281-817-5904

Provider Business Practice Location Address
First Line	:	6420 RICHMOND AVE
Second Line	:	333
City	:	HOUSTON
State	:	TX
Zip	:	77057-5929
Country	:	US
Telephone Number	:	713-838-6352
Fax Number	:	281-817-5904

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

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	05/17/2012

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