Provider Demographics
NPI:1275220295
Name:ONUEGBULEM, ANGELA CHINWENDU
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:CHINWENDU
Last Name:ONUEGBULEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 REDCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1154
Mailing Address - Country:US
Mailing Address - Phone:469-222-2667
Mailing Address - Fax:
Practice Address - Street 1:1806 REDCLIFF CT
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1154
Practice Address - Country:US
Practice Address - Phone:469-222-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX916781163W00000X
CARN95282132163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse