KELECHI MADUKA


Address: 4229 Glenhaven Dr, Garland, TX 75042-6120
Phone: 4692093783

KELECHI MADUKA (NPI# 1710509740) 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) 1710509740
Entity Type Individual
Full Name KELECHI MADUKA
Practice Address 4229 Glenhaven Dr
Garland
TX 75042-6120
Practice Telephone 4692093783
Practice Fax Number 9729185166
Mailing Telephone 4692093783
Mailing Fax Number 9729185166
Enumeration Date 2020-05-13
Last Update Date 2020-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
789766 TX Nursing Service Providers

Office Location

Street Address 4229 GLENHAVEN DR
City GARLAND
State TX
Zip Code 75042-6120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467098079 Covenant Home Health Home Health 4229 Glenhaven Dr, Garland, TX 75042-6120 2019-11-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699259697 Abiodun Gloria Irabor-musa Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3106 Centennial Dr, Garland, TX 75042 2018-09-17
1356870620 Brad Taylor Landrum Family Medicine 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 2017-06-08
1043662034 Alicia Valdiviezo Physician Assistant 2046 Forest Ln Ste 130, Garland, TX 75042 2016-07-01
1053711184 Jamette Hickman Physical Therapist 705 Walter Reed Blvd Suite 100, Garland, TX 75042 2014-08-26
1619397932 Saint Catherine Hospice Inc. Hospice, Inpatient 4229 Glenhaven Drive, Garland, TX 75042 2014-04-25
1821424094 Angel Care Team Adult Companion 1801 Evelyn Dr., Garland, TX 75042 2013-09-19
1427311042 Baylor Family Medicine Clinic Case Manager/Care Coordinator 601 Clara Barton, 340, Garland, TX 75042 2012-06-19
1003176959 Benedict Eric Homer Dentist 813 North Jupiter Rd., Garland, TX 75042 2012-05-25
1518254929 Rama Sulochana Narla Emergency Medicine 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 2011-07-06
1093002917 Mecca Group Community/Behavioral Health 1213 Patricia Ln, Garland, TX 75042 2011-06-29
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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699380477 Katherine Elaine Holt Registered Nurse 15911 Nacogdoches Rd Bldg 2, San Antonio, TX 78247-1107 2020-09-09
1528672599 Marianne Elizabeth Toombs Registered Nurse 24625 Wilderness Oak Apt 4103, San Antonio, TX 78260-7229 2020-09-07
1376156695 Karen Renee Gibbs Green Registered Nurse 11502 Yoakum St, Pearland, TX 77584-5711 2020-08-26
1003424300 Busola Oloyede Registered Nurse 7510 Eastwood Lake Ln, Richmond, TX 77407-2877 2020-07-22
1366064123 Elizabeth Rodriguez Registered Nurse 1717 Scottsdale Dr Ste 120, Cedar Park, TX 78641-4340 2020-05-14
1396383238 Tanya K Mccaskill Registered Nurse 2000 Blue Heron Ln, Harker Heights, TX 76548-8678 2019-12-10
1801441670 Christle Wanorue Registered Nurse 24906 Grand Sapphire Ln, Katy, TX 77493-3224 2019-08-07
1457912545 Kenyatta L Holmes Registered Nurse 315 W Alabama St Ste 200, Houston, TX 77006-5177 2019-06-28
1477114262 Pauline Maduka Ike Registered Nurse 6633 Hillcroft St Ste 102, Houston, TX 77081-4816 2019-06-24
1801452420 Monica Lynn Gasaway Registered Nurse 507 Mockingbird Ln, Nacogdoches, TX 75964-6583 2019-05-20
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Competitor

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City GARLAND
Zip Code 75042

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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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