Provider Demographics
NPI:1164975173
Name:UJOATU, JANE (DRPH, RDN/LDN)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:UJOATU
Suffix:
Gender:F
Credentials:DRPH, RDN/LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5614 W GRAND PKWY S STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5820
Mailing Address - Country:US
Mailing Address - Phone:832-594-0756
Mailing Address - Fax:281-533-8274
Practice Address - Street 1:5614 W GRAND PKWY S STE 102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5820
Practice Address - Country:US
Practice Address - Phone:832-594-0756
Practice Address - Fax:281-533-8274
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84360133V00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
812104530OtherIRS