Provider Demographics
NPI:1235459769
Name:NWOKOCHA, MONICA ADWOAFUAA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ADWOAFUAA
Last Name:NWOKOCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5233 FAIRMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3947
Mailing Address - Country:US
Mailing Address - Phone:713-568-0240
Mailing Address - Fax:
Practice Address - Street 1:2527 SKYVIEW POINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-8119
Practice Address - Country:US
Practice Address - Phone:713-876-0593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10038268390200000X
TXP5762207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program