Provider Demographics
NPI:1134546799
Name:AKUBUEZE, NWAMAKA EKEOMA (DIRECTOR)
Entity type:Individual
Prefix:
First Name:NWAMAKA
Middle Name:EKEOMA
Last Name:AKUBUEZE
Suffix:
Gender:F
Credentials:DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 SONOMA WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-4347
Mailing Address - Country:US
Mailing Address - Phone:713-530-3726
Mailing Address - Fax:
Practice Address - Street 1:6211 SONOMA WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-4347
Practice Address - Country:US
Practice Address - Phone:713-530-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide