MEDICARE: CHIDI OKWUAKA NP

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	367500000X	Certified Registered Nurse Anesthetist	1139035	TX
2	363LG0600X	Gerontology Nurse Practitioner	AP146183	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962282939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIDI OKWUAKA NP

Provider Business Mailing Address
First Line	:	2502 GRIGGS CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5206
Country	:	US
Telephone Number	:	646-662-1762
Fax Number	:

Provider Business Practice Location Address
First Line	:	2502 GRIGGS CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5206
Country	:	US
Telephone Number	:	646-662-1762
Fax Number	:

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

Provider Enumeration Date	:	10/05/2023
Last Update Date	:	02/09/2026

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Directions to “ CHIDI OKWUAKA NP” Practice Location

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