Provider Demographics
NPI:1144861311
Name:OBIJIOFOR, UDOCHUKWU. KARL
Entity type:Individual
Prefix:
First Name:UDOCHUKWU.
Middle Name:KARL
Last Name:OBIJIOFOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8918 WILDSPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-1438
Mailing Address - Country:US
Mailing Address - Phone:832-545-4877
Mailing Address - Fax:
Practice Address - Street 1:8918 WILDSPRUCE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-1438
Practice Address - Country:US
Practice Address - Phone:832-545-4877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)