Provider Demographics
NPI:1003207044
Name:CHIDOKA, STELLA (RN)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:CHIDOKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 WESTHEIMER RD STE 350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3225
Mailing Address - Country:US
Mailing Address - Phone:713-975-1310
Mailing Address - Fax:713-975-7312
Practice Address - Street 1:11200 WESTHEIMER RD STE 350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3225
Practice Address - Country:US
Practice Address - Phone:713-975-1310
Practice Address - Fax:713-975-7312
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX523570163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management