Provider Demographics
NPI:1447481452
Name:ONUORAH, CHINWENDU
Entity type:Individual
Prefix:
First Name:CHINWENDU
Middle Name:
Last Name:ONUORAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 TANGLEBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6763
Mailing Address - Country:US
Mailing Address - Phone:281-337-8029
Mailing Address - Fax:281-614-5788
Practice Address - Street 1:2016 TANGLEBRIAR LN
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6763
Practice Address - Country:US
Practice Address - Phone:281-337-8029
Practice Address - Fax:281-614-5788
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities