Provider Demographics
NPI:1548873482
Name:EMEKA, ONONUJU JUSTIN
Entity type:Individual
Prefix:
First Name:ONONUJU
Middle Name:JUSTIN
Last Name:EMEKA
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:PO BOX 710775
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0775
Mailing Address - Country:US
Mailing Address - Phone:832-552-3941
Mailing Address - Fax:
Practice Address - Street 1:4423 SIERRA POINT DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-6057
Practice Address - Country:US
Practice Address - Phone:832-552-3941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-29
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist