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NPI Code Detail

MEDICARE: ANDREW OBIOMACHI ONWUEGBU LPC

MEDICARE: ANDREW OBIOMACHI ONWUEGBU LPC
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
1251S00000XCommunity/Behavioral Health Agency79730TX
2101YP2500XProfessional Counselor79730TX

General Provider Information

NPI Number : 1811597172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW OBIOMACHI ONWUEGBU LPC
Provider Business Mailing Address
First Line : PO BOX 413
Second Line :
City : ALIEF
State : TX
Zip : 77411-0413
Country : US
Telephone Number : 713-344-5330
Fax Number :
Provider Business Practice Location Address
First Line : 22001 SOUTHWEST FWY STE 125
Second Line :
City : RICHMOND
State : TX
Zip : 77469-7118
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 04/11/2025

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