Provider Demographics
NPI:1194847756
Name:TOCHUKWU UGHANZE
Entity Type:Organization
Organization Name:TOCHUKWU UGHANZE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOCHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:UGHANZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-701-4012
Mailing Address - Street 1:3242 CHIMNEY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3356
Mailing Address - Country:US
Mailing Address - Phone:325-701-4012
Mailing Address - Fax:
Practice Address - Street 1:3242 CHIMNEY ROCK RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3356
Practice Address - Country:US
Practice Address - Phone:325-701-4012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty