Provider Demographics
NPI:1861978843
Name:UKAEGBU, CHINAZA (NP-C)
Entity type:Individual
Prefix:
First Name:CHINAZA
Middle Name:
Last Name:UKAEGBU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 NATCHEZ HILL TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6196
Mailing Address - Country:US
Mailing Address - Phone:713-598-1790
Mailing Address - Fax:
Practice Address - Street 1:3014 NATCHEZ HILL TRL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6196
Practice Address - Country:US
Practice Address - Phone:713-598-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135607363LF0000X
TXAP135607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily