Provider Demographics
NPI:1083906101
Name:NNOROM, AZUOMA
Entity Type:Individual
Prefix:
First Name:AZUOMA
Middle Name:
Last Name:NNOROM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16922 EVENING RUN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2596
Mailing Address - Country:US
Mailing Address - Phone:832-876-0567
Mailing Address - Fax:
Practice Address - Street 1:16922 EVENING RUN LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2596
Practice Address - Country:US
Practice Address - Phone:832-876-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-08
Last Update Date:2011-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health