Provider Demographics
NPI:1407620263
Name:VICHEK HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:VICHEK HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NKIRUKA
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:MBONU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:281-854-5026
Mailing Address - Street 1:5823 MATILDA BAY CIR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1989
Mailing Address - Country:US
Mailing Address - Phone:281-854-5026
Mailing Address - Fax:
Practice Address - Street 1:5823 MATILDA BAY CIR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1989
Practice Address - Country:US
Practice Address - Phone:281-854-5026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service