MEDICARE: MERCIE HEALTH LLC

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	207Q00000X	Family Medicine Physician
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1821674961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCIE HEALTH LLC

Provider Business Mailing Address
First Line	:	25031 WESTHEIMER PKWY STE 500
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7317
Country	:	US
Telephone Number	:	832-562-0553
Fax Number	:	833-907-2370

Provider Business Practice Location Address
First Line	:	25031 WESTHEIMER PKWY STE 500
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7317
Country	:	US
Telephone Number	:	832-562-0553
Fax Number	:	833-907-2370

Authorized Official
Title or Position	:	NURSE PRACTITIONER/CEO
Name	:	SYLVIA UDOKORO NWAKANMA
Credential	:	DNP
Telephone Number	:	832-404-2957

Provider Enumeration Date	:	03/19/2021
Last Update Date	:	08/08/2023

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Directions to “MERCIE HEALTH LLC ” Practice Location

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