Provider Demographics
NPI:1548046378
Name:ONYEKA, CHIDIEBERE FRANKLIN
Entity type:Individual
Prefix:
First Name:CHIDIEBERE
Middle Name:FRANKLIN
Last Name:ONYEKA
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 1:2301 S VOSS RD APT 2424
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3858
Mailing Address - Country:US
Mailing Address - Phone:973-980-1882
Mailing Address - Fax:
Practice Address - Street 1:2301 S VOSS RD APT 2424
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3858
Practice Address - Country:US
Practice Address - Phone:973-980-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRCW5667343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)