MEDICARE: EDWARD UYANWUNE

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1578230413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD UYANWUNE

Provider Business Mailing Address
First Line	:	4359 PALMER PLANTATION DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4267
Country	:	US
Telephone Number	:	832-546-4859
Fax Number	:

Provider Business Practice Location Address
First Line	:	4359 PALMER PLANTATION DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4267
Country	:	US
Telephone Number	:	832-546-4859
Fax Number	:

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

Provider Enumeration Date	:	08/27/2021
Last Update Date	:	08/27/2021

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Directions to “ EDWARD UYANWUNE ” Practice Location

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