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NPI Code Detail

MEDICARE: ENYINNAYA NDUJIUBA CRNA

MEDICARE:   ENYINNAYA  NDUJIUBA  CRNA
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
1367500000XCertified Registered Nurse Anesthetist632948TX
2367500000XCertified Registered Nurse AnesthetistAP113485TX

Other Identifiers

General Provider Information

NPI Number : 1831176502
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENYINNAYA NDUJIUBA CRNA
Provider Business Mailing Address
First Line : 7200 CAMBRIDGE ST FL 10
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4202
Country : US
Telephone Number : 713-798-1750
Fax Number : 713-798-4693
Provider Business Practice Location Address
First Line : 7200 CAMBRIDGE ST FL 10
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4202
Country : US
Telephone Number : 713-798-1750
Fax Number : 713-798-4693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 04/11/2023

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Directions to “ ENYINNAYA NDUJIUBA CRNA” Practice Location

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