Provider Demographics
NPI:1104359256
Name:ONUOGU, JOY (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:ONUOGU
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 CREEK POINT LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6710
Mailing Address - Country:US
Mailing Address - Phone:713-805-3098
Mailing Address - Fax:
Practice Address - Street 1:4419 CREEK POINT LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6710
Practice Address - Country:US
Practice Address - Phone:713-805-3098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily