SANDRA IJEOMA OKWUMABUA


Address: 12750 Wisteria Park Dr, Houston, TX 77072-2492
Phone: 8328581804

SANDRA IJEOMA OKWUMABUA (NPI# 1376003079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376003079
Entity Type Individual
Full Name SANDRA IJEOMA OKWUMABUA
Practice Address 12750 Wisteria Park Dr
Houston
TX 77072-2492
Practice Telephone 8328581804
Mailing Telephone 8328581804
Enumeration Date 2019-03-20
Last Update Date 2019-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
838854 TX Nursing Service Providers

Office Location

Street Address 12750 WISTERIA PARK DR
City HOUSTON
State TX
Zip Code 77072-2492

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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1962062802 Adaeze Peace Obi Registered Nurse 13100 W Bellfort Ave Apt 417, Houston, TX 77099-4833 2019-06-13
1497313936 Cania Russell Registered Nurse 1760 Barker Cypress Rd Apt 226, Houston, TX 77084-6157 2019-05-30
1740843507 Charlotte Lynetta Jackson Registered Nurse 7610 Ashmole Ln, Houston, TX 77088-5658 2019-04-17
1851954614 Rosalind West Registered Nurse 15403 Swan Creek Dr, Houston, TX 77095-2017 2019-04-17
1306307822 Mauro Ramon Rios Jr. Registered Nurse 1475 Texas St Unit 623, Houston, TX 77002-3692 2019-03-27
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Competitor

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City HOUSTON
Zip Code 77072

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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