MEDICARE: EMMANUELLA I ONYEJELEM

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	163W00000X	Registered Nurse	691407	TX
2	163WH0200X	Home Health Registered Nurse	691407	TX

General Provider Information

NPI Number	:	1902843477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMANUELLA I ONYEJELEM

Provider Business Mailing Address
First Line	:	12935 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-5603
Country	:	US
Telephone Number	:	713-728-1954
Fax Number	:	713-728-3680

Provider Business Practice Location Address
First Line	:	12935 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-5603
Country	:	US
Telephone Number	:	713-728-1954
Fax Number	:	713-728-3680

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/11/2025

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Directions to “ EMMANUELLA I ONYEJELEM ” Practice Location

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