MEDICARE: CHINYERE E. CHUKWUKA

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	251E00000X	Home Health Agency	010642	TX

General Provider Information

NPI Number	:	1881770568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHINYERE E. CHUKWUKA

Provider Business Mailing Address
First Line	:	6118 TERRELL HILLS DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-6121
Country	:	US
Telephone Number	:	713-252-6780
Fax Number	:	281-232-8311

Provider Business Practice Location Address
First Line	:	6118 TERRELL HILLS DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-6121
Country	:	US
Telephone Number	:	713-252-6780
Fax Number	:	281-232-8311

Authorized Official
Title or Position	:	RN/ADMINISTRTOR
Name	:	MRS. CHINYERE EZINNE CHUKWUKA
Credential	:	RN-BSN
Telephone Number	:	713-252-6780

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	09/13/2007

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