Provider Demographics
NPI:1902427545
Name:NWANKWO, NNAEMEKA
Entity Type:Individual
Prefix:
First Name:NNAEMEKA
Middle Name:
Last Name:NWANKWO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:EMEKA
Other - Middle Name:
Other - Last Name:NWANKWO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17814 THEISS MAIL ROUTE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6111
Mailing Address - Country:US
Mailing Address - Phone:832-324-9953
Mailing Address - Fax:832-324-9993
Practice Address - Street 1:17814 THEISS MAIL ROUTE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6111
Practice Address - Country:US
Practice Address - Phone:832-324-9953
Practice Address - Fax:832-324-9993
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-06
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide