Provider Demographics
NPI:1861122103
Name:GALEGA-SABUM, CHIKA
Entity type:Individual
Prefix:
First Name:CHIKA
Middle Name:
Last Name:GALEGA-SABUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHIKA
Other - Middle Name:BEATRICE
Other - Last Name:ALARIBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4322 HERRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-3945
Mailing Address - Country:US
Mailing Address - Phone:763-445-1079
Mailing Address - Fax:832-225-3911
Practice Address - Street 1:4322 HERRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-3945
Practice Address - Country:US
Practice Address - Phone:346-857-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16221101YA0400X
TX978326163W00000X
TX1163297363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163W00000XNursing Service ProvidersRegistered Nurse