Provider Demographics
NPI:1013395060
Name:UCHE, IJEOMA CYNTHIA
Entity Type:Individual
Prefix:
First Name:IJEOMA
Middle Name:CYNTHIA
Last Name:UCHE
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 1:59 OLD WOODS PSGE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3094
Mailing Address - Country:US
Mailing Address - Phone:281-974-3573
Mailing Address - Fax:713-492-0232
Practice Address - Street 1:9801 BISSONNET ST STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8224
Practice Address - Country:US
Practice Address - Phone:281-974-3573
Practice Address - Fax:713-492-0232
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist