Provider Demographics
NPI:1407487812
Name:CUI, KEMI (OMD)
Entity Type:Individual
Prefix:
First Name:KEMI
Middle Name:
Last Name:CUI
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 CASEY RD
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2605
Mailing Address - Country:US
Mailing Address - Phone:281-734-0673
Mailing Address - Fax:
Practice Address - Street 1:109 MOSS ROSE
Practice Address - Street 2:
Practice Address - City:KOSSE
Practice Address - State:TX
Practice Address - Zip Code:76653-3850
Practice Address - Country:US
Practice Address - Phone:254-375-2831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01276171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist