Provider Demographics
NPI:1871869537
Name:NWEZE, NGOZI CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:NGOZI
Middle Name:CATHERINE
Last Name:NWEZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SORRENTO WAY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1492
Mailing Address - Country:US
Mailing Address - Phone:757-784-4947
Mailing Address - Fax:
Practice Address - Street 1:12410 MILESTONE CENTER DR
Practice Address - Street 2:SUITE 225
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7101
Practice Address - Country:US
Practice Address - Phone:301-944-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD0081816207P00000X
TXQ9700207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program