MEDICARE: IRIKEFE OJEVWE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1195395	TX
2	376K00000X	Nurse's Aide	DE000040520608	DE

General Provider Information

NPI Number	:	1780846857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRIKEFE OJEVWE

Provider Business Mailing Address
First Line	:	4743 ARBOR HOLLOW DR STE 240
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-2090
Country	:	US
Telephone Number	:	302-465-1751
Fax Number	:

Provider Business Practice Location Address
First Line	:	3129 KINGSLEY DR STE 2030
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8511
Country	:	US
Telephone Number	:	302-465-1751
Fax Number	:

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

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	06/16/2025

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Directions to “ IRIKEFE OJEVWE ” Practice Location

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