Provider Demographics
NPI:1376711705
Name:ASONYE, NDUKWE ISAAH I
Entity Type:Individual
Prefix:MR
First Name:NDUKWE
Middle Name:ISAAH
Last Name:ASONYE
Suffix:I
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 1:9898 BISSONNET ST
Mailing Address - Street 2:375C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-778-0334
Mailing Address - Fax:713-778-0337
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:375C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-778-0334
Practice Address - Fax:713-778-0337
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0103368332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies