Provider Demographics
NPI:1376101576
Name:OBUTE, AKUDO U
Entity Type:Individual
Prefix:
First Name:AKUDO
Middle Name:U
Last Name:OBUTE
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 1:1398 ELDRIDGE PKWY STE 113
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2548
Mailing Address - Country:US
Mailing Address - Phone:281-679-9500
Mailing Address - Fax:
Practice Address - Street 1:1398 ELDRIDGE PKWY STE 113
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2548
Practice Address - Country:US
Practice Address - Phone:281-679-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily