Provider Demographics
NPI:1164961710
Name:IWUJI, LEO
Entity Type:Individual
Prefix:MR
First Name:LEO
Middle Name:
Last Name:IWUJI
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 1:2634 HYLAND PARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2872
Mailing Address - Country:US
Mailing Address - Phone:832-725-0706
Mailing Address - Fax:832-725-0706
Practice Address - Street 1:2634 HYLAND PARK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-2872
Practice Address - Country:US
Practice Address - Phone:832-725-0706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities